Mastermind Curriculum Registration Form

AI MEETS MENTAL HEALTH

MASTERMIND Registration Form
Name

First NameLast Name
Profession
What you do
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Please answer the following questions:
What is your specialty? Is it Mental Health or Artificial Intelligence?
Are you committed to a future where AI and Mental Health are synergistic in their interface? (Scale of 1-10)
Do you know any influencers you could speak to and invite, that might want to join us in the Mastermind or become part of the symposium later this year?
If accepted, will you commit to attending all sessions and contribute regularly and ethically sound with your heart?
Once accepted, you will be emailed further details

of the MASTERMIND Curriculum.
Should be Empty:

AI MEETS MENTAL HEALTH