Mental Health In Communities of Color

Name *

Organization Affiliation *

Please select statement(s) that best applies to your need. *

I am a Parent/Caregiver

I am a peer advocate not employed full time (FT)

I am leader or follower of a Faith-Based Organization

I am employed by a Grassroots Organization

I am employed by an organization that is not covering the cost of the educational symposium

Required

I am expected to participate fully, and if I am no show, I will be sent an invoice for the cost of the Symposium. *

Agree