Rise Above Facilitator Interest Form

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The Touchstone Foundation takes a whole-person approach to mental wellness. The Rise Above youth summit serves to explore and educate the various themes within mental wellness.

We are always looking for new facilitators with a fresh perspective and engaging presentations to facilitate discussions with high school students from all parts of Lancaster County.

Please fill out this form to the best of your ability and we will connect with you to see if it's a good fit!

In this first section of the form we ask some demographic questions that WILL NOT be shared publicly and there is a prefer not to say option for each one should you feel uncomfortable with any question.

Email *

Name *

Pronouns *

She/Her

He/Him

They/Them

Other:

Required

Gender *

Female

Transgender Female

Male

Transgender Male

Nonbinary

Prefer not to answer

Other:

Race *

American Indian/Alaskan Native (i.e. Aboriginal Australian, First Nations, Native American)

Asian (Central Asian, East Asian, South Asian, Southeast Asian)

Black/African American (having origins in Sub-Saharan Africa)

Middle Eastern/North African (including the Middle East, North Africa and the Arab World)

Native Hawaiian or Other Pacific Islander (a person having origins in any of the original people of Hawaii, Guam, Samoa, or other Pacific Islands)

White/European descent

Prefer not to answer

Other:

Ethnicity
*

Hispanic or Latino (A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.)

Not Hispanic or Latino

Prefer not to answer

Short Bio *

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