Active Minds Board Questionnaire
* Required
Name (First and Last):
*
Your answer
Email (please include @
middlebury.edu
):
*
Your answer
Year:
*
Your answer
Preferred Pronouns:
*
Your answer
Select the following that pertain to you:
*
I have experienced or am experiencing mental illness.
I have a family member who has experienced or is experiencing mental illness.
I have a close friend who has experienced or is experiencing mental illness.
I have been exposed to mental illness through media.
Other:
Required
Position you're interested in:
*
Secretary
Communications Chair
Fundraising Chair
Required
Why are you interested in Active Minds?
*
Your answer
What experiences and/or leadership skills make you qualified for the position you selected?
*
Your answer
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