New Member Interest Form
Hello! Thank you for your interest in becoming an Active Member for our Active Minds Chapter here at Pacific. We're so excited to meet you and continue raising awareness for mental health among college students. Once you had filled out this form, you should be expecting an email from us. Welcome to the team, stigma fighter!
Sign in to Google to save your progress. Learn more
Name *
Email *
Pacific ID # *
Phone number (To be included in a group chat through Groupme)
Class year *
T-Shirt Size (if interested in getting a club shirt!)
What days of the week works best for you to attend a meeting? Please check all that apply *
Required
What time would work best for you to attend these meetings according to our last question? Please check all that apply *
Required
If you have any additional questions for us, please feel free to email us! You can reach us at activeminds@pacific.edu :)
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of University of the Pacific. Report Abuse