SHE CARES Circle Registration Form

Join a cohort of 25 high schoolers passionate about teen mental health and help break mental health stigma! Through the She Cares Circle, you can be a part of the solution. Each week you will hear from a mental health expert as you meet together virtually. At the end of your time together, you will create an event to combat mental health stigma in your community!

She Cares Circle runs from March 12 to April 30, meeting virtually every Wednesday from 6:30–7:45pm, with a She Cares Circle Summit on May 13 from 5:30–7:00pm at the New Canaan Library. The meeting dates are March 12, March 19, March 26, April 2, April 9, April 23, and April 30, with no meeting on April 16.

First Name*

Last Name*

Email*

Cell Phone*

Race/Ethnicity*

Date of Birth*

Street Address*

City*

State/Region*

Postal Code*

Current School*

What current grade are you in?*

I understand that photos and videos will be taken for promotional purposes.*

Yes

Why would you like to apply to be a part of the She Cares Circle?

I commit to attending all meetings and the event on May 13.*

Yes

How did you hear about us?*