Mobilize Recovery 25 - Interest Form

Mobilize Recovery Event Interest Form

Please complete this form to receive a Digital Toolkit.
What is your college or university?*
What is your name?*

First NameLast Name
What is your email?*
example@example.com
If you are submitting on behalf of a campus organization, please tell us who you're with.
(Ex: Greek Life, student union, extracurricular club)
What kind of event(s) are you interested in hosting?*

Town HallNetworking EventEducational DemosConcertPerformanceWorkshopDay of ServiceOther
What topics are you interested in covering?*
Why are you interested in hosting an event? *
Should be Empty:

Mobilize Recovery Event Interest Form