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AMHC Resource Directory: New Resource / Organization Form
This form serves as an application to be listed on the Asian Mental Health Collective Resource Directory found at
https://www.asianmhc.org/resources-directory/
Please allow 4-6 weeks for a response, thank you!
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* Indicates required question
Email
*
Your email
Resource / Organization Name
*
Your answer
Resource Category
*
Organization
Hotline
Resource / Organization Description
*
Your answer
Phone Number (Required for Hotlines)
Your answer
Website
*
Your answer
Country
*
United States
Canada
State/Province
*
Note: "Nationwide" is acceptable if not tied to a specific state/province
Your answer
City (If Applicable)
Your answer
Zipcode (If Applicable)
Your answer
Ethnic Identity Served
*
Chinese
Korean
Japanese
Malaysian
Vietnamese
Afghani
Armenian
Axerbaijani
Georgian
Kazakh
Kyrgyz
Mongolian
Tajik
Turkmen
Uzbek
Okinawan
Taiwanese
Tibetan
Carolinian
Chamorro
Chuukese
Fijian
Guamanian
Hawaiian
Kosraean
Samoan
Tongan
Papua New Guinean
Bruneian
Burmese
Cambodian
Filipino
Hmong
Indonesian
Laotian
Mien
Singaporean
Timorese
Thai
Bangladeshi
Bhutanese
Indian
Maldivians
Nepali
Pakistani
Sri Lankan
White/Caucasian
Other:
Required
Do you acknowledge that the information included in this form is subject to verification of publicly accessible information in order to protect public safety. *
*
Yes
No
Do you acknowledge that the Asian Mental Health Collective reserves the right to pause your participation in this directory if the information provided is not accurate?
*
Yes
No
Do you acknowledge that your organization is not endorsed in any way by the Asian Mental Health Collective and all professional conduct and liability falls within your organization's ethical and legal obligations?
*
Yes
No
A copy of your responses will be emailed to the address you provided.
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