Listen to the KidZ (LTTK) Interest Form

Thank you for your interest in Listen to the KidZ (LTTK)!

LTTK is a youth-led initiative created by Dr. Zabina Bhasin (Dr. Zee) that amplifies student voices to improve youth mental health and well-being through research, advocacy, education, and community engagement. Whether you're passionate about conducting research, leading discussions, translating for families, shaping programs through our Youth Council, or simply sharing ideas for future events, we'd love to hear from you.

Complete this short form to let us know how you'd like to get involved. We'll reach out as opportunities become available throughout the year. Got questions? Email Dr. Zee at dr.zee@listen2thekidz.com.

Sign in to Google to save your progress. Learn more
Full Name *
Preferred Email Address *
Preferred Phone Number *
School Name & Grade *
City, State *
How would you like to get involved? (Select all that apply, and we'll follow up with more details.) *
Required
What topics would you like LTTK to focus on? (Select all that apply.)

*
Required
 Is there anything else you'd like us to know?  
Thank you for filling out this form! Stay tuned for opportunities to get involved with Listen to the KidZ, we'll be in touch soon.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report