BC2M Club Application 2019-2020
Thank you so much for your interest in launching a BC2M club at your school! Please fill out the following form if you are interested in applying to launch a High School Club program within BC2M's current regions. As of Fall 2019, BC2M's regions are: Northern California, Southern California, Greater Phoenix AZ, Tri-State Area, Greater Columbus OH, Greater Cincinnati OH, and Greater Indianapolis IN. Note: If your school is outside of these regions but you still would like to apply to be on our National Club waitlist, please return to the BC2M High School Page and find the appropriate application form.

Please note: Currently, the majority of our regions have reached maximum capacity for the 2019-2020 school year, though spots do become available occasionally. Based on your geographic region, the answers you provide, and if a spot becomes available for your school, a BC2M staff person will be in contact.

Questions? Email us at highschool@bringchange2mind.org

Full Name *
Your answer
Best email address to reach you *
Your answer
Name of School *
Your answer
Which BC2M region is your school in? *
City and State of School *
Your answer
Your Position within the School *
Why are you interested in launching a BC2M club at your school? *
Your answer
Currently, how is mental health talked about at your school and within your community? How would you like this to change? *
Your answer
Is there a group of passionate student leaders ready to launch this student-led club? Please describe. *
Your answer
Please share email address for students and staff interested in participating in a future BC2M club at your school. (Please separate emails with a comma) *
Your answer
How did you first hear about BC2M? *
Your answer
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