Email: we will use this to reach out to you so you can get involved as soon as possible! *
Your answer
Age (information kept private) - if you outside this age range we will still accept you (as long as you are a student) *
Grade (information kept private). If you are outside this grade range we will still accept you (as long as you are a student) *
State you live in *
Choose
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
What school district are you in? (ex. Chandler Unified School District) *
Your answer
What school do you go to? (ex. Westborough High School) *
Your answer
Which sections of the Teen Mental Health Initiative would you prefer joining? Please select your top 2 or 3 choices (no more or less). These can be changed later! *