Students for Mental Health Action Interest Form

Thank you for your interest in participating in the advocacy trip to the U.S. Capitol. We are prioritizing the Peer to Peer Mental Health Support Act (S.906), College Student Continuation of Mental Health Care Act of 2025 (H.R.5357), and Improving Mental Health Access for Students Act (H.R.3624). We plan to meet with Congressional representatives and staff to advocate for an expansion of mental health resources nationwide. We will also provide trainings before the advocacy on Capitol Hill begins.

As Students for Mental Health Action (SMHA), we would love you to join us to further support and promote bipartisan mental health legislation. Your interest and passion for this matter mean a lot to us. If you would like to learn more, please fill out this form, and we will reach out to you soon.

Sign in to Google to save your progress. Learn more
Name *
Email Address *
Phone Number *
What college are you currently attending? *
What is your current year in school? *
Your Representative and Senators 
*
We would greatly appreciate knowing where our participants might be from to determine which offices we want to visit. Please put your Representative/Senators below.

You can find more information about your Representative here, and a list of Senators by state here.
In a brief paragraph, why are you interested in mental health advocacy? 
Is there any other information you would like us to know?
Would you like to be more involved beyond the Advocacy Trip? If yes, please briefly describe how you’d like to be involved
Want to invite friends who are also passionate about mental health? (We’d love to have them!)
*
Please confirm you have joined the WhatsApp (to stay updated): https://chat.whatsapp.com/BoaYvIxUdB4ENJ82XXB1e8 *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of The George Washington University.

Does this form look suspicious? Report