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Listen, Learn, Act - Registration
First Name
*
Last Name
*
Email Address
*
Pronouns
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City
*
State/Province
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Zip/Postal Code
*
Age
*
12 - 14
15 - 17
18-19
20-22
Under 12
Over 22
Are you a...(check all that apply)
*
College student
Educator
Mental Health Professional
Parent
Grandparent
Other
Other
Are you connected to a Youth MOVE MN Local Group?
*
Not connected to a local group
The Shop
REACH Mentoring
Hmong American Partnership
American Indian Family Center
Project Legacy
Southwest High School
Quincy House
Other
Other
Would you be interested in more information about your school or organization becoming a member of Youth MOVE MN's statewide network?
*
Yes
No
Which sessions do you plan to attend? (Check all that apply)
Oct. 12th - What is Mental Health? A Roundtable Discussion
Yes
Oct. 19 - Caring for Self and Others when the World is on Fire
Yes
Oct. 26 - Trauma 101
Yes
Nov. 2 - Social Justice and Historical Trauma: The Role of Youth
Yes
Nov. 9 - Policing and Mental Health
Yes
Nov. 16 - Do they look the same? Cultural and Global Perspectives on Mental Health
Yes
Nov. 23 - Change to Chill: Mental Health Resources
Yes
Are there other topics you'd like to see discussed in the future?
Would you like to be added to Youth MOVE MN's email list for info about future guest speaker series, upcoming events and opportunities?
*
Yes
No
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