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					               DECREASING ALCOHOL ABUSE AMONG ON-CAMPUS FRESHMEN
                            APPLICATION TO PARTICIPATE

Campus:

Campus Contact:

Title and Department:

Mailing Address:

Phone:                                              Fax:

Email:

By submitting this application, we agree:
   • We have read the CADE project “Decreasing Alcohol Abuse Among On-Campus
      Freshmen – Overview 2010” and agree to the terms and project as outlined in that
      document.
   • We meet the criteria to apply to participate in this project, as outlined in the “Decreasing
      Alcohol Abuse Among On-Campus Freshmen – Overview 2010” document.


Please respond to the following questions.

1. How does or can the training on alcohol poisoning and bystander intervention fit within your
current residence life training program for Resident Assistants?




2. How does or can the training on alcohol poisoning and bystander intervention fit within your
current peer educator training program for peer educators?




3. What type of mandatory freshmen education or programming do you currently have in place
at the beginning of the Fall term? How do you see a one-hour program on alcohol poisoning fit
into this current program? If you do not currently have mandatory programming in place, what
would need to happen to encourage freshmen to attend a one-hour program on alcohol
poisoning early in the Fall term?




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4. What makes your campus unique and why should your campus be chosen to be one of two
campuses for Cohort A of this project?




Signatures of Support



CADE Member on file with The BACCHUS Network™


Advisor of Campus Peer Education Group or Equivalent


Director of Residence Life


Director of Judicial Affairs


Dean of Students or Equivalent




Due Date
The completed application must be received by Andrea Zelinko by Monday, February 21, 2011.
You can email your application (andrea@bacchusnetwork.org) or mail it to

Andrea Zelinko
The BACCHUS Network
PO Box 100430
Denver, Colorado 80250-0430

Questions: Contact Andrea by email (andrea@bacchusnetwork.org) or by phone (303-871-
0901).




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