Organization Name Specific Page Number Member and Role in Contribution to for Matching Name Organization Coalition (tasks Sector CIA (provide (first and (name of performed as page number last name) organization and part of only) role) coalition) Youth (an individual 18 or younger, provide age) Parent Business School Youth-Serving Organization Law enforcement Religious or Fraternal Organization or Volunteer Group Healthcare Professional State, Local, or Tribal Governmental Agency with Expertise in the Field of Substance Abuse Other Organization Involved in Reducing Substance Abuse
Sector Member Name (first and last name) Organization Name and Role in Organization (name of organization and role) Specific Contribution to Coalition (tasks performed as part of coalition) Page Number for Matching CIA (provide page number only) Youth (an individual 18 or younger, provide age) Parent Business School Youth-Serving Organization Law enforcement Religious or Fraternal Organization or Volunteer Group Healthcare Professional State, Local, or Tribal Governmental Agency with Expertise in the Field of Substance Abuse Other Organization Involved in Reducing Substance Abuse
sp-17-003.docx