Join MAPC

How to Join MAPC

Thank you for your interest in joining the Memphis Area Prevention Coalition. Please take some time to answer the following questions so that we may get to know you, and tailor this partnership to mutual benefit:

Membership Application

Name*
First Last
Phone*
Email*
Race:*
Gender:*
Current Occupation:*
Position:*
Reason for participation in coalition:*
What sector do you belong to?*
- Youth
- Parent
- Business
- Law Enforcement
- Healthcare Professional
- State, Local, Tribal Government Agency
- Media
- School
- Youth Serving Organization
- Religious/Fraternal Organization
- Civic Volunteer Group
- Other organization involved in reducing substance abuse
What task force are you most interested in?*
- Alcohol Task Force
- Tobacco Task Force
- Drugs Task Force
Intended level of involvement/Commitment? (Check all that apply)*
- Actively involved in a task force
- Attend monthly meetings
- Provide Support and Resources
Are you interested in Volunteer Opportunities? (Events, health fairs, town halls, conferences, data collections, trainings etc)*
- Yes
- No
What resources will you bring to the table?*
Consent*
I agree to the following terms:*
I would like to become a member of the Memphis Area Prevention Coalition. I understand that I will receive notices of upcoming meetings, meeting minutes, events, training opportunities and prevention news alerts. I also understand that I need to complete the Title VI training annually, provided for free, by coalition staff.
Consent*
- I agree to the privacy policy.
Comments
This field is for validation purposes and should be left unchanged.

Funding

This project is funded under a Grant Contract with the State of Tennessee Department of Mental Health and Substance Abuse Services.

Emergency?

Please dial 911 or seek medical attention for any immediate medical needs you may be experiencing. This website is not intended to provide information about a specific behavioral health or medical issue.

TN Redline

If you or someone you know is struggling with addiction, contact the Tennessee Redline:
1-800-889-9789

Office

Memphis Area Prevention Coalition
1207 Peabody Ave.
Ste #324
Memphis, TN 38104

(901) 249-2828

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