Application Form | My Site 2

Scholarship Application Form

First name

Last name

Email

Phone

How long have you been involved in mental health advocacy? (e.g., months, years) (50 words max)

List initiatives or projects you’ve participated in or led to support mental health in your community. Include a brief description for each. (50–100 words each)

Have you received any recognition for your work in mental health? If yes, please specify. (50–100 words)

Do you have a personal story or experience that inspired your work in mental health? (Yes/No. If yes, expand in the essay section.) (50 words max)

What does intersectionality mean to you, and how does it relate to mental health advocacy? (50 words max)

Name one or more communities you believe are disproportionately affected by mental health issues and briefly explain why. (100 words max)

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