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2022 SAMHSA Prospective Advocate Application

Thank you so much for your interest in becoming an advocate for the LEAD Advocate/Protégé Program. Please complete the advocate application form below. We will put our best efforts into finding your match but meeting all requests are not guaranteed. Thus, it is important to provide us with clear and concise details on what you are looking for in a protégé.

Your participation in this program is greatly appreciated. It is because of you that we are able to offer such a unique opportunity to our SAMHSA fellows. Please also encourage your APA/APAF Leadership colleagues to join you in this effort.

For additional information, please email Tanya Thabjan at
1. Contact Information
2. Your Psychiatric Speciality
3. Your Roles
4. Your APA Leadership Roles
6. Please Upload Your Curriculum Vitae