Student Mental Health Symposium: October 11

1. Please fill out the the form below to register

First Name *This question is required.

Last Name *This question is required.

University Email Address *This question is required. This question requires a valid email address.

College/School Name *This question is required.

Department Name *This question is required.

Job Title

If you require special accommodations to participate in this online event via Zoom, please let us know!

What is your functional area of work?

Administration
Business & Finance
Health Professional
Housing & Dining
Information Technology
Research
Student Affairs
Other - Write In (Required) Please enter an 'other' value for this selection. * This question is required.

What is your major and year in school?

What is your academic area of expertise?

2. Please use the slider below to indicate where you believe the responsibility lies for good mental health.

I believe good mental health is primarily my personal responsibility

I believe good mental health is primarily my university's responsibility

3. What are you hoping to learn from this program?