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: