Washoe County Teen Mental Health Leadership Program Application
A Children's Cabinet Lead Program, in collaboration with Connect Washoe County. www.connectwashoe.org
Name
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
School
Grade (2024-2025)
Please Select
Sophomore
Junior
Please tell us why you are interested in this program.
Will you need transportation support to attend meetings?
Please Select
Yes
No
Submit
Should be Empty: