DISCLAIMER: The foregoing application is for purposes of connecting the applicant with available resources and will remain confidential.
I understand no promises have been made to me relative to treatment, Recovery Coaching, case management or supportive services. I also understand that the role of Malden Overcoming Addiction (MOA), is only to connect individuals with addiction support and recovery services. MOA does not offer or provide any type of medical, clinical or mental health treatment or services. I also acknowledge that I am participating voluntarily in using the services offered.
*Due to the current availability of resources, the application process is limited to Malden residents only.
*Please fill out this MOA Scholarship Application Form completely as it allows MOA to properly assess your needs.
**If you are chosen to be interviewed, you will be required to formally sign this application at the interview in order to proceed further in the application process.