Non-Regional BC2M Club Waitlist 2019-20
Thank you so much for your interest in launching a BC2M club at your school! The majority of schools that BC2M works with are within our active geographic regions but we do work with a select number of schools outside of these major areas. Please fill out the following form if the school you are representing is outside of BC2M's current regions*. Submitting this form will place your school on the Waitlist.

Currently, BC2M has reached its capacity for the number of non-regional schools we are able to work with for Fall 2019 but space does occasionally become available. Based off the information you provide, a BC2M staff person will be in contact if a spot opens.

*As of Fall 2019, BC2M's regions are: Northern California, Southern California, Greater Phoenix AZ, Tri-State Area, Greater Columbus OH, Greater Cincinnati OH, and Greater Indianapolis IN.
Note: If your school is within one of these regions, please return to the BC2M High School Page and find the appropriate application form for regional clubs.

Questions? Email us at highschool@bringchange2mind.org

Full Name *
Your answer
Best email address to reach you *
Your answer
Name of School *
Your answer
City and State of School *
Your answer
Your Position within the School *
Why are you interested in launching a BC2M club at your school? *
Your answer
Currently, how is mental health talked about at your school and within your community? How would you like this to change? *
Your answer
Is there a group of passionate student leaders ready to launch this student-led club? Please describe. *
Your answer
Please share email address for students and staff interested in participating in a future BC2M club at your school. (Please separate emails with a comma) *
Your answer
How did you first hear about BC2M? *
Your answer
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