APA Moore Community Mental Health Fair Interest Form

APA Moore Equity in Mental Health Community Health Fair, Richmond, VA

On behalf of the American Psychiatric Association (APA), we are pleased to invite you to participate in the APA Moore Equity in Mental Health Community Fair, scheduled for September 14th in Richmond, VA in Partnership with Virginia Commonwealth University, Mary and Frances Youth Center, located at 120 South Linden Street.
As a 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?