H.E.A.R.D. Coalition Membership

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Thank you for your commitment to helping prevent substance use in youth. Please complete this brief membership form to ensure that you receive emails with updates and event information.

First and last name *

Email *

Phone number
*

Would you like to be added to the HEARD email list?

Yes

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If applicable, what organization are you associated with?

If applicable, what committee(s) would you be interested in?

Policy and Advocacy

Outreach

Membership and Recruitment

Youth Coalition/Advocacy (This committee will require a City of Lubbock volunteer background check and drug screen).

What are two things that you feel make a community organization successful?

What skills do you have and how would you like to utilize them to help HEARD reach young people in Lubbock?

How did you hear about the HEARD Coalition?

Your answer

Is there anything else you would like to share?

Submit

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