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2024 Application

This form is exclusively available for school districts, juvenile municipal courts, and other organizations interested in utilizing the AdvisingGenz Platform or becoming a DRJ Site.

Enter Company Information
Tell Us About Your Youth 
Would you be intersted in learning about our third-party telehealth service partner (DialCare's-Student Dialogue)? This service is included through the AdvisingGenz Platform.
Tell Us About Your Team
Tell Us About Your Needs & Preferences
Tell Us About Your Budget
Will your organization need financial assistance?
Tier Packages Include The Following
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Please review the above tier chart to select the package that works best for your organization.
We are offering sponsorship awards ranging from $1,000 - $10,000 for one year. The funds will be awarded competitively.Please select the award amount you are applying for.
Are you a referred applicant or do you already belong to a Regional DRJ Group? If so, special group pricing could apply.

Thank you!

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