Come Join Us!

Hello! Are you interested in joining the University of Vermont Active Minds chapter, or are you a brand new member? If either of these is the case, you should fill out the form located down below. This form will allow us to get to know you better! In addition, this form will allow us to determine how we can better spread the word across campus to people that might be interested in mental health or Active Minds. Anyway, everyone in our chapter would love for you to join us. We hope to see you soon! Please note that all information entered in this form will only be visible to the current leader of the University of Vermont Active Minds chapter.

Please note that all information entered in this form will only be visible to the current leader of the University of Vermont Active Minds chapter.

Contact Information

First Name

Last Name

Which campus do you live on?

How did you hear about Active Minds at UVM?

Online.

Word of mouth.

Advertising media (poster, info-graphic, etc.).

At the club fair.

Other

Have you been to a meeting yet?

Yes, I have been once!

Yes, I have been multiple times!

No, but I'm interested!

Tell Us About Yourself!

Do you have any pets? What are your hobbies? What pronouns do you prefer to use? Feel free to tell us anything about yourself that you would like!

Comments & Suggestions

If you have any questions, suggestions for the club, comments, or concerns please let us know and we will get back to you via email ASAP (optional).