HELP & HOPE Southcoast- Mental Health Campaign Survey

Partner Sign Up

Since the beginning of the COVID response, organizations from around the Southcoast have been working together to address the basic needs of area residents. Mental Health is a critical need for all of us during these challenging times, so our broad-based coalition of providers and stakeholders are coming together to promote a campaign called Help & Hope Southcoast in an effort to End Stigma and Strengthen Mental Health. If you and/or your organization would like to be listed as a partner in this effort, please complete the survey below. We are moving quickly to get the campaign up and running so please don't wait to complete the form. Once we receive your information more details will follow. Thank you for your consideration.

1.If you would like your organization to be listed on the Campaign Landing Page Please complete the following information

Contact Person

Company

Address

City/Town

ZIP/Postal Code

Email Address

Phone Number

2.Website for your organization (this will be listed on our landing page)

4.Website URL you would like listed for your organization

5.Would you be willing to be photographed as an advocate for our campaign to be used in advertising?

Yes

Other (please specify)

6.Other Comments

7.Do you know someone that you think would like to join? Name and Email