Start an NHA Chapter - Official Application
Thank you for your interest in starting a chapter of Neuro Health Alliance (NHA) at your school or in your community. Our mission depends on leaders like you, people who care about advancing youth mental health and neurodiversity through meaningful advocacy, education, and change. 

This application ensures that each prospective chapter founder is prepared, passionate, and equipped to launch a sustainable, high-impact chapter.
Email *
Before You Apply: What to Expect If Accepted
As a Chapter President, you will: 
  • Establish a team of 3–10 initial core members within 2 months of approval. 
  • Host at least 2 NHA events or initiatives per semester (e.g., panels, workshops, fundraisers, campaigns). 
  • Attend semester National Chapter Leader meetings (virtual, hosted on Zoom). 
  • Submit a short semester activity report and 1 major initiative reflection per semester. 
  • Uphold our Core Pillars: Advocacy, Education, and Research.
Applications are reviewed within 7 business days. If accepted, you'll receive a Welcome Packet, NHA email, branding materials, onboarding links, and full access to the NHA Chapter Starter Kit. 
Learn more about Neuro Health Alliance (501(c)(3)) at neurohealthalliance.org.
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms