APA Moore Community Mental Health Fair Interest Form

APA Moore Equity in Mental Health Community Fair

This year's Community Fair will be held in Philadelphia at a date and location TBD. Please complete this form to be included in updates and participate as a vendor. As a vendor/community partner your involvement and expertise play a crucial role in empowering attendees with the information and resources they need to enrich their mental health. Please note that APA will provide a table, two chairs, and refreshments. Community partners must bring signage and any items, such as pamphlets, they need for the day.

1. Name, Title *This question is required.

2. Organization or Affiliation *This question is required.

3. Contact E-mail *This question is required. This question requires a valid email address.

4. How would you like to participate in the APA Moore Equity in Mental Health Community Fair (Choose all that apply) *This question is required.

Have a table/information booth for my organization
Volunteer the day of
Outreach/Promotion (Canvassing the local area and inviting participants, business and other vendors)
Host an Activity or Workshop (Please provide details) Please enter an 'other' value for this selection. * This question is required.
Provide Donations (Please specify what kind - gift card, raffle items, goods or food to participants - ex: in the past a bakery donated baked goods for participants) Please enter an 'other' value for this selection. * This question is required.
Other - Write In (Required) Please enter an 'other' value for this selection. * This question is required.

5. Please provide Name and Contact for Point of Contact On-Site *This question is required.

6. Will you be providing materials in other languages? If so, please let us know in which languages:

7. Any additional comments, feedback or questions?