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SAMHSA MFP Prospective Advocate Application - 2024

We sincerely appreciate your interest in serving as an Advocate within the LEAD Advocate/Protégé Program. To proceed, kindly complete the application form provided below. 

Your commitment to this program is invaluable. Through your involvement, we can continue to offer this exceptional mentorship opportunity to our SAMHSA MFP Fellows. We encourage you to invite your fellow APA/APAF leaders to participate in this enriching initiative.

If you require any further information or assistance, please do not hesitate to contact Razan Jaber at rjaber@psych.org.

1. Contact Information
2. Your Psychiatric Speciality
3. Your Roles
4. Your APA Leadership Roles
6. Please Upload Your Curriculum Vitae