3rd Annual Minority Mental Health Awareness Fair Vendor Registration

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

We would like to thank your business or organization in advance for registering to participate in our 3rd Annual Mental Health Awareness Fair. Opportunities will include: joining a panel discussion, hosting a seminar, and/or hosting a vendor table. Please indicate your desire for participation during the fair. If you have any questions, please feel free to contact or president via email (rmccants@themmi.org) or by phone (313.828.3929). We look forward to your participation!

Email *

Contact Full Name *

Title/Position within the Organization

Direct Contact Phone *

Company/Organization *

Services & Special Programs Offered

Please list

Would you like to be a virtual vendor? *

Yes

Are you interested in being a part of a paneled discussion? *

Yes

Are you interested in presenting a seminar or demonstration? *

Yes

We would like presentations on the following presentations:

Please check all the presentations you are interested in presenting

Understanding Suicide in the Black Community

Recognizing & Healing Trauma as a Community

Financing Our Future: Building a Better Relationship with Money

Learning to Live: Rejecting Stigma & Accepting Wellness

Un-Mothering Our Men: Relearning Our Role in the Mental Wellness of Our Men

My Brothers Keeper: Becoming Mindful Men

Celebration of Faith: Coexistence of Religion & Therapy

If yes, please indicated what you would like to present.

If outside of our listed topics

Send me a copy of my responses.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of Mind Management Institute, Inc. Report Abuse

Forms