SAFE Project - Youth VOICE Council Questionnaire

Step 1 of 3

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Name(Required)

First Last

Home State(Required)

State

What grade are you in?(Required)

Name of High School(Required)

Email Address(Required)

Cell Phone

Can we text you with updates?

Yes

Why are you interested in being a SAFE Project volunteer?(Required)

How did you find SAFE Project?(Required)

If Other, please explain.

Please share your passions, skills and talents.(Required)

ie: video production/digital platform use, event planning/coordination, teaching/training, creative writing, poetry, arts, music, fund raising

Please share your ideas and thoughts about ways in which you'd like to use your passions, skills and talents in support of SAFE Project's mission?(Required)

SAFE Project's Mission: To contribute solutions toward overcoming mental health challenges, substance misuse, and the addiction epidemic in the United States.

Would you be interested in participating in advocacy efforts that support SAFE Project's Mission?(Required)

SAFE Project's Mission: To contribute solutions toward overcoming mental health challenges, substance misuse, and the addiction epidemic in the United States.

Have you taken SAFE Project's No Shame Pledge?(Required)

Take the #NoShame Pledge

Are you trained in Narcan Administration?(Required)

Do you carry Narcan?(Required)

Have you participated in the SAFE Project Narcan Accessibility Challenge?(Required)

Naloxone Accessibility Challenge

Would you be interested in doing short recorded messages on related field topics?(Required)

Do you follow SAFE Project on any social media outlet(s)?(Required)

If not, would you be willing to start?(Required)

Linktree Social Media Links

Would you be interested in teaching the No Shame Education Program at any of these levels? Check all that apply.(Required)

High school level

Middle school level

Elementary level

Maybe

Would you be willing to recommend SAFE Project for events/functions at your school? Check all that apply(Required)

Parent night events

Meet the teacher events

Teacher In-service

As a vendor at a sporting event

Health Fairs or Health Promotion

Other

Maybe

If other, please explain

Would you be willing to recommend SAFE Project for events in your community? Check all that apply.(Required)

Townhalls

Forums

Health Fairs

Expos

Other

Maybe

If other, please explain

Would you identify yourself as a person living in recovery?

Would you identify yourself as a recovery ally - someone who advocates for and speaks out in support of recovery?

Please use the space below to provide additional information about ways in which SAFE Project could be of support to you.

Phone

This field is for validation purposes and should be left unchanged.

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Youth VOICE Council Questionnaire