MindVersity Chapter Representative Interest Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

MindVersity strives to bridge the gaps between access to mental health resources and students of color on college campuses nationwide.
Our overarching goals:
--Provide culturally competent mental health resources specific to students of color
--Educate about disparities that continue to exist in mental health care
--Create a peer support network across college campuses nationwide
--Champion various policy initiatives regarding culturally competent mental health care on campus

We're looking for a passionate, bright, and diverse group of people to serve as representatives at their respective colleges. You'll join others from different universities nationwide to craft and develop our mission: ensuring that EVERYONE has access to competent mental health care.

Name *

First and last name

Personal Email

School Email *

Phone number

University You Attend: *

Graduation Year *

Are you able to attend a biweekly (monthly, once the school year starts) board meeting? *

Yes

Why does this organization interest you, and how do you think you can help further our cause? There's no pressure with your answer here--it can be one sentence or even several paragraphs-- all we want is to learn a little bit more about you. And, hey, if you've got some awesome ideas, we'd love to hear them here too! *

Tell us a joke (sorry, we're bored).

Bonus points if you follow our Instagram page (@mindversityorg)!! *

Yes, I've followed

No I haven't, and it haunts me

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms