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Organization Representative - First Name
Organization Representative - Last Name
Job/Volunteer Title
Work Email
Phone Number
Name of organization
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Armed Forces Americas
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Zip
Organizational Email Address
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County/Counties Served
Atlantic
Bergen
Burlington
Camden
Cape May
Cumberland
Essex
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Hudson
Hunterdon
Mercer
Middlesex
Monmouth
Morris
Ocean
Passaic
Salem
Somerset
Sussex
Union
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Other
Service Area - Other
What type of recovery support services does your organization provide?
Clinical Therapy
Collegiate Recovery Program
Detox
Education, Training, Stigma Reduction, and Advocacy
Grief Support: Non-clinical supports designed to provide family members and loved ones of someone who has lost somebody to an SUD with support.
Harm Reduction
Intensive Outpatient Program (IOP)
Family Support: Non-clinical supports designed to provide families with support and strategies to promote their own and their loved one's recovery.
Medication Assisted Recovery (MAR or MAT)
Partial Hospitalization Program (PHP)
Peer Support: Services in which a peer helper with lived experience and specialized training provides non-clinical support to an individual seeking recovery services.
Pre-Treatment: Non-clinical supports that connect individuals with SUDs to treatment or other supports that initiate a path towards recovery (e.g. hospital-based peer services, police-assisted recovery programs, etc.
Recovery Community Center: Peer operated hubs for non-clinical recovery support, social and recreational opportunities, mutual-aid, etc.
Recovery High School
Recovery Housing: Safe, affordable, drug- and alcohol-free housing options for individuals in recovery.
SUD Rehabilitation
Transitional Services: Non-clinical supports that begin while an individual is still in a structured treatment or justice setting, designed to connect individuals with SUDs to community based supports upon release.
Other
Other - Services Provided
Does your organization serve the unique needs of a specialized population?
Co-Occurring
Emerging Adults
Families who have lost a loved one to a SUD
Family members of a loved one with an SUD
Homeless
Justice-Involved
LGBTQ+
Medication Assisted Recovery (MAR or MAT)
People who use drugs
Pregnant/Postpartum Women
Youth
Veterans
Other (Explain below)
Other - Special Populations
Are your services...
In-Person
Virtual
Both
How did you hear about CARS?
Would you like your services to be added to the Resource Map on the NJ-CARS website?
Yes
No
I certify that I am authorized to complete and sign this application on behalf of this organization. I certify that neither myself, my organization, nor any individual therein will act as a representative of the New Jersey Coalition for Addiction Recovery Support unless specifically requested by the CARS Advisory Committee. I certify that the information provided in this application is accurate to the best of my knowledge, and that the services listed are an accurate representation of the services provided by the applicant organization. I understand that each member application is subject to review by the CARS Advisory Committee to ensure applicant organizations demonstrate support of addiction recovery and suitability for membership.
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