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Please send us proof of Virginia residency for scholarship
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Acquaintance: Please tell us what you know about CELT. Why are you interested in attending CELT? What strength do you have that you can bring to the mental health community? What leadership, planning and/or advocacy skills would you like to improve?
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Community Mental Health Issues: List two mental health concerns or issues affecting your community that you would like addressed.
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| Community or systems change: Which are you more interested in: community initiatives and grassroots change OR mental health advocacy, funding and systems change? Why? |
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Leadership Skills: What leadership skills do you have? How have you used them to advocate for mental health? List two ways you think your leadership and advocacy skills can be improved. How do you plan to use the skills learned at CELT?
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References and Recommendations: Please list any references.
Letters of recommendations should be sent by the recommendor. Recommendors can send letters by e-mail to selena.ruffin@mhav.org or by mail to 3212 Cutshaw ave. suite 315, Richmond, VA 23230
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Signature: by typing your name in this space you will be signing this document.
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