MHA Week 2019 Event Entry Form
Please complete the following form using correct grammar, syntax, and punctuation. Avoid the use of abbreviations, acronyms, and industry jargon. Please follow formatting notes.

Even if some of your event details aren't confirmed, submit what you have so we can begin to populate the MHA Week calendar. For example, if you don't have the event description or if you haven't yet secured a location, submit the form anyway with whatever details you have. If the title of the event hasn't been decided, come up with a tentative working title; we can always update it later.

If you come across a required field for which you don't yet have information, type "To be provided" in that space so you can proceed with the rest of the form.

After you hit the "Submit" button below, you will be provided with a link which will allow you to edit your submission. You can save that link as a bookmark or favorite and return at a later date to provide additional information.

PLEASE NOTE: All event submissions are subject to review and approval by the Association for Mental Health and Wellness and the Mental Health Association of Nassau County.
Title of the event *
As it would appear online. Avoid abbreviations and acronyms.
Date of event *
If a multi-day event, note the end date here
Start time *
Please use military time: 00:00
End time
Please use military time: 00:00
Name of sponsoring organization/company *
Name of location of the event
If different than above
Street Address 1 *
Do not use abbreviations.
Street Address 2
Do not use abbreviations.
Street Address 3
Do not use abbreviations.
Hamlet/Village *
State *
Zip *
Use five digit zip code.
Event contact name for publication *
If no name is to be listed, enter "None" below
Event contact title
Phone number to be published in the listing
Please use the following format: XXX-XXX-XXXX. (If there is a phone extension, use format: x123.)
Phone number in case we have questions *
This number will not be published in the listing
Email address to be published in the listing
Use all lower case.
Email address in case we have questions *
This email address will not be published in the listing
Organization/Company website or web address (URL) of the event
This is for inclusion in the listing. Use all lower case and format as follows:
Event Description
Keep this conversational. Use this space to let people know what they can expect to see, hear, learn, or experience. Be succinct where possible. Avoid acronyms and abbreviations. Try to keep it to 100 words or less.
Any questions? Any additional information you would like to include? If so, tell us below:
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