Join the Lifeline Cleveland Team: Let’s Help Women Heal Together

Thank you for your interest in being part of the Lifeline Cleveland initiative — a powerful program designed to support women ages 18–50 through suicide prevention, healing, and community care.

We’re building a team of compassionate, creative, and dependable women who believe in the mission of helping others feel seen and supported.

This is a community-focused project to combat rising suicide rates. This initiative will consist of the following

Host art therapy classes
Distribute 'Chest of Infinite Dreams' boxes
Empower women and girls with coping skills
Provide resources and support to individuals who loss loved ones due to suicide

and a host of other events and engagement!

This is a voluntary position, there is no monetary compensation!*

I understand this is voluntary and there is no monetary compensation

Completing this form does not ensure acceptance on to the team.

Please do not complete if you are not willing to commit to the time needed to complete this program.

Please tell us a little more about yourself below.

Are you Female? While we appreciate are male counterparts willing to participate, we prefer our team be female (Assigned Female at Birth) due to the sensitive nature of information being shared*

Yes, I'm Female (Assigned female at birth)No

Name*

First NameLast Name

Email*

example@example.com

Phone Number*

Please enter a valid phone number.

How did you hear about this program?*

Which role(s) are you most interested in?*

Program Coordinator: Oversees day-to-day tasks, follows up with participants, vendors, and partners, and keeps things moving.Outreach & Social Media: Gets the word out, manages social media, creates flyers, promotes the program, and helps get traffic to the form.Participant Support / Intake: Reviews incoming forms, helps identify good program fits, and follows up gently with participants.Healing Box Curator: Contacts vendors, collects donations/supplies, assembles boxes, manages delivery or pick-up.Facilitator or Therapist Partner: Leads therapy session(s), provides professional guidance, and ensures emotional safety during sessions. (must be licensed)Fundraising or Grant Support: To help secure funding for future roundsAdmin or behind-the-scenes: For follow-up calls, scheduling, email supportOther

Other:

Why do you want to be part of this mission?*

What skills or experience do you bring to the team?*

Are you available for team Zoom check-ins or occasional in-person meetings in Cleveland?*

YesNo

Are you willing to join the Lifeline Cleveland Discord Group to receive instant messages?*

YesNo

Are you willing to sign a non-disclosure agreement/privacy agreement? There will be very sensitive information shared, and we want to make sure our participants are safe.*

YesNo

When could you start helping?*

Date

Thank you so much for your heart and your time. We’ll be in touch to let you know next steps.

In the meantime, feel free to email any questions to Naomicle216@gmail.com