Speaking Event Host Application

Which type of event format are you interested in hosting?

Virtual EventIn-Person Event

Will your event address be different from your organization/school address?

YesNo

Event Street Address

Event City

Event State/Province

Event Zip/Postal Code

If you are in need of funding, consider applying for the Active Minds Program Fund to support bringing a speaker to your community

College students	Community members
Faculty/Staff (educators)	Healthcare Workers
Managers/Employees	Parents/Caregivers
Professionals	Students (high school)
Students (K-8)	Veterans/Active duty service members
Other

Anxiety/Panic Disorder	Asian American Mental Health	Athletes	Black, Indigenous, People of Color Mental Health	Bipolar Disorder
Bullying	Depression	Domestic Violence	Eating Disorders	Fraternities/Sororities
K-12 Audience	Latinx Mental Health	LGBTQ+ Mental Health	Life Transitions	Men and Mental Health
Mental Health and Current Events	Mental Health and the Pandemic	Mental Health Awareness	Mental Health in the Workplace	Mindfulness
Music/Creativity and Mental Health	Obsessive Compulsive Disorder	Perfectionism	Personality Disorders	Post-Traumatic Stress Disorder
Religious/Spiritual Communities	Resilience	Self-Care/Self-Compassion	Self-Injury	Sexual Assault/Rape Culture
Stigma Reduction	Stress Management	Substance Use and Abuse	Suicide Prevention	Trauma
Veterans/Active duty service members	Women and Mental Health	Other