District 5950 is looking to identify or solicit a professional or lay leader in mental health that is interested in learning and sharing with others in Zones 25B - 29 and Zone 25A.

As the needs and resources are different based upon age, we are going to ask that a Youth and an Adult Mental Health leader be named. The focused discussions will be on Breaking Stigma; Raising Awareness; and Increasing Capacity.
Rotary member completing this Form:
Name: District:
E-Mail:
Adult Mental Health Collaborator
Name:
Rotary Club: E-Mail Contact:
Experience with Adult Mental Health:
Youth Mental Health Collaborator
Name:
Rotary Club: E-Mail Contact:
Experience with Adult Mental Health: