UPLIFT Irondequoit: Youth Leadership Committee

UPLIFT Irondequoit is looking for young community leaders who are interested in promoting positive mental health as it relates to substance use. If you are passionate about your community and mental health this is a great way for you to help make a difference. Please fill out the form accurately with your given first and last name and with the best email to contact you. We will get back to you as quickly as we can with more information!

Sign in to Google to save your progress. Learn more
First and Last Name *
Provide your age *
Provide your grade and school district *
Provide personal email (not school email) to be contacted *
Are you interested in promoting positive mental health and reducing the stigma surrounding poor mental health? *
List three things you are skilled at (ie. Graphic artwork, photography, public speaking, writing, journaling, music, social media and technology) *
What interests you most about wanting to be apart of this group? *
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy