Application - Neolth Student Ambassador

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Please complete the following application to be considered for our Student Ambassador Program. Please note that due to a high volume of applications, we are unfortunately unable to get back to those who aren't accepted. Our team will follow up with you via email if you are accepted. Please keep an eye out for emails from hello@neolth.com

We are currently accepting applications for the Summer 2025 semester through May 10th at 5pm Pacific Time. Please be advised that we will be getting back to applicants about the spring program in May.

Email *

First and Last Name *

Age, in years (You must be at least 14 to participate) *

Name of your School *

Location of your School *

Which of the following best describes your school? *

Public High School

Private High School

Public College or University

Private College or University

Recent Graduate

Why are you interested in Neolth's Student Ambassador Program? *

In your opinion, what are some things that impact students' mental health? *

Have you been involved in mental health advocacy or school initiatives before? If yes, please explain. *

Please list any leadership activities you've been involved in to date. *

Are you able to dedicate a minimum of 5 hours per month to this program? *

Yes

Would you like to join our online community to connect with other ambassadors? *

Yes

Were you referred by a current ambassador? If so, who? *

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