www.dfwn.org - Drug-Free Workplace Network

For more information on how you can become a member of the Drug-Free Workplace Network, please complete and return this form.


Company Name:   
Contact Person: 

Address:        
                
                

Phone Number:   
Fax Number:     

Email:          

Do you have a drug testing policy?
 Yes   No

Do you have an employee assistance program?
 Yes   No

Are there specific services you are interested in?