First Name (required)
Last Name (required)
Your Email (required)
Phone Number (required)
Zip Code (required)
City of Residence
State of Residence
Under 1818 - 2526 -4041 - 5556 - 7071+Prefer not to answer
Which of the following best describes you? (Choose all that apply)
I am a young adult/student (high school or college)I am a parent/adultI am an educational professional (i.e., teacher, principal, guidance counselor, coach)I am a mental health professionalI am a survivor of suicide (attempt survivor, or survivor of a family member or friend who died by suicide)
Highest level of education you have completed:
High SchoolSome CollegeCollegeSome Graduate SchoolGraduate School
Volunteer Checklist: Select all that apply
Working with high schoolsWorking with collegesOrganizing campus or community screening events (films)Bringing JED to my college/universityMaking presentations on behalf of JED programs in my community or on campusTabling at a community or campus health fairRecruiting five friends to join JEDStarting a JED Facebook fundraiserConducting local Do It Yourself (DIY) fundraisersHelping organize/recruiting participants for National Cycling Event or similar eventAsking my employer to raise funds (e.g. jeans day)Providing social media supportWriting a blog post (I have a blog)Writing technical pieces (medical writing, grant writing, essay writing)Writing for a quarterly newsletterWriting my representatives in Congress to affect Mental Health issuesI am a licensed clinicianProviding Technical digital media or IT supportResearching and gathering dataCreating/designing graphics, content (I am a graphic designer)Providing attorney services
What inspired you to volunteer for JED?
Do you already receive JED emails?
Have you ever attended a JED event?
Please include any other details about yourself, comments or suggestions that you would like us to know: