Social Equity Program Eligibility Verification Application

Managed by Cannabis Education Project & Social Equity Program Engineers

About You

Your First Name

Your Last Name

Your Date of Birth

Your Physical Address

Country

City

State

Postal code

Your Mailing Address

If different from your physical address

Your Email

Your Phone Number

How should we contact you? Check all that apply.

Phone

Text Message

Email

By Selecting "Phone" or "Text Message" above you Consent to Receive SMS Notifications & Alerts from Cannabis Education Project, Social Equity Engineers and The County of San Diego. Message frequency varies. Message & data rates may apply. Reply HELP for assistance. You can reply STOP to unsubscribe at any time.

Privacy Policy & Terms of Use

Would you like to add an additional contact person to your application?

Yes

No, I do not need to add an alternative contact person

Including an additional contact is optional and does not count as an application for that person. The additional contact will only be used if we cannot reach you through the contact methods you have previously provided.

Additional Contact Information

Please enter the name and contact info for a secondary contact we should use if we cannot reach you through the contact methods you provided above.

We're here to help!

Call, email or use the webchat to reach us!

Social Equity Program Eligibility Verification Application

Managed by Cannabis Education Project & Social Equity Program Engineers

About You

We're here to help!

Phone: ‪(619) 356-0377‬

Email: [email protected]

Privacy Notice & Terms of Use