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Full Name: Mailing Address: Email Address: Phone Number: Name of College/University: Class: (Freshman, Sophomore, etc.): Student ID Number (Include Photocopy): By entering this essay contest, I warrant that I meet the following eligibility requirements: (1) I am at least 18-years-old or older; (2) I am an undergraduate or graduate student who is currently enrolled in a college or university located within the 50 United States or the District of Columbia; and (3) I have read and understand the RehabCenter.net Scholarship Rules and Regulaons and understand I am legally bound by them. RehabCenter.net 877-683-2152 [email protected] 1. The ways in which drug and/or alcohol addiction affects society today. 2. What can we do to reduce these effects, help people, and lessen the burden of alcoholism on society? Please include signed application form, essay, copy of student ID and return via email to: Print Name: Signature Date

Find Alcohol And Drug Rehab Centers Based On …...The ways in which drug and/or alcohol addiction affects society today. 2. What can we do to reduce these effects, help people, and

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Page 1: Find Alcohol And Drug Rehab Centers Based On …...The ways in which drug and/or alcohol addiction affects society today. 2. What can we do to reduce these effects, help people, and

Full Name:

Mailing Address:

Email Address:

Phone Number:

Name of College/University:

Class: (Freshman, Sophomore, etc.):

Student ID Number (Include Photocopy):

By entering this essay contest, I warrant that I meet the following eligibility requirements:(1) I am at least 18-years-old or older; (2) I am an undergraduate or graduate student who is currently enrolled in a

college or university located within the 50 United States or the District of Columbia; and (3) I have read and understand the RehabCenter.net Scholarship Rules and Regulations and understand I am legally bound by them.

RehabCenter.net 877-683-2152

[email protected]

1. The ways in which drug and/or alcohol addiction affects society today.

2. What can we do to reduce these effects, help people, and lessen the burden of alcoholism on society?

Please include signed application form, essay, copy of student ID and return via email to:

Print Name:

Signature Date