National Young Minds United Program

National Young Minds United Program

Expression of Interest Form
Full Name*

First NameLast Name
Email*
example@example.com
Mobile*
Date of Birth (this program is for youth aged 16-25)*
Address*

Street Address

Street Address Line 2

City / SuburbState

Postcode
Why would you like to join the MHFA Young Minds United Program?*

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Do you speak a language other than English? If so, please select from the options:
Please select areas where you would like to assist the MHFA as a advocate:*

FundraisingLetter WritingYouth ProjectsPublic SpeakingSocial Media PromotionBlog WritingPodcast or Webinar PresentationEvent Coordination
Please select areas of mental health advocacy you are passionate about*

Anxiety DisordersDepressionBipolar DisorderTrauma and PTSD (Post-traumatic Stress Disorder)OCD (Obsessive Compulsive Disorder)ADHD (Attention-Deficit/Hyperactivity Disorder)Eating DisordersASD (Autism Spectrum Disorder)SchizophreniaSubstance UsePersonality Disorders

Please indicate your weekly availability.*

Please attach your professional profile photo, to be shown in your leader profile on our website, should you be successful.*

File formats allowed: jpg, jpeg, png
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Please submit a short bio to be used for your leader profile, should your application be successful (50 - 100 words) *

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