Clone of Community Conversation Volunteer Sign up Form (Updated)

Community Conversation Volunteer Sign-up Form
Alaska has some of the highest suicide rates in the country, and men are particularly affected. FWC is hosting this Community Conversation to better understand why that is, and how we can better support the men in our community.

The event will begin with small breakout discussions to give general attendees a chance to design questions, followed by a moderated panel featuring men, and mental health professionals, sharing their experience and perspectives.

The insights gathered from both breakout discussions and the panel will be used as qualitative data to help inform future suicide prevention efforts and may be shared publicly in a summarized, de-identified way to support broader community awareness and action.

FWC will need your help to make this event a success! Whether you're interested in being a volunteer, notetaker, tabler, or panelist, we want you on our team! Fill out this form and FWC will reach out to you with the details.
Full Name*

First NameLast Name
E-mail*
example@example.com
Phone Number*
Format: (000) 000-0000.
Panelist (Share your perspective and answer questions)Discussion Facilitator (Lead the group discussion with FWC's question prompts)Resource Tabler (host a table for a nonprofit/community org with info)Door Person (Checking people in, door prize tickets, etc)Note Taker (Take notes and participate in the group discussions)I'm flexible! (We'll have you fill in where we need you on the day of the event!)
Are you available from 9:00am to 2:00pm (approximate event run time)?*

Hour Minutes

AM/PM Option

Until
until
Hour Minutes

AM/PM Option
PANELISTS ONLY - if you aren't interested in being a panelist, type "N/A" Tell us about why you'd like to participate as a panelist at this event. (For example, why is wellness important to you)*
Thank you for taking the time to take interest in our event!

We'll reach out once we review your completed form.
Should be Empty:

Community Conversation Volunteer Sign-up Form

Thank you for taking the time to take interest in our event!