MENTAL HEALTH EMERGENCY? TEXT 741741 or DIAL 988

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School District Employee Nomination Form

Thank you again for taking the time to meet with us. We want to make sure we stay connected and continue to support your district in meaningful ways, so please take a few minutes to complete this form.

Your Name(Required)

First

Your Email(Required)

Title(Required)

District(Required)

Who is the best person for us to contact for district communications (for event promotion, updates, etc.)?(Required)

Full Name... Title... Email...

Are there any additional staff we should connect with around mental health, student leadership, or community engagement?(Required)

Yes

No

Individual #1

Name... Title... Email...

Individual #2

Name... Title... Email...

Individual #3

Name... Title... Email...

To help us better connect students with existing resources, could you please share a brief overview of the mental health and student support services your district currently offers?

If you are not sure of all the services available, please feel free to provide the name and contact information of someone we can follow up with to learn more.

Name... Title... Email...

Resource #1

Program Name... Type of Content (video, assembly, club, etc.)... Frequency...

Resource #2

Program Name... Type of Content (video, assembly, club, etc.)... Frequency...

Resource #3

Program Name... Type of Content (video, assembly, club, etc.)... Frequency...

What events of ours would you like to receive invitations to? (Select all that apply)(Required)

Summer Orientation & Retreat

Community Forums

Teen Council Meetings

In-School Events in your school district

Advocacy Day

As we prepare for our Summer Orientation, would your district be willing to help promote these opportunities to students and families? We will provide simple materials and messaging to make promotion easy for your district staff.(Required)

Yes, we're happy to help promote

Possibly—please send more information

What type of updates would you find most helpful to receive from Zero Reasons Why? (Select all that apply)(Required)

Program updates and new initiatives

Teen council highlights and student stories

Mental health resources for students and families

How often would you like to receive updates from us?(Required)

These updates would be in addition to our quarterly newsletter.

Monthly

Quarterly

1x a semester

Are there any topics where you would like more resources, programming, or partnership from Zero Reasons Why?

This field is hidden when viewing the form

Form Completed - Zoho(Required)

School District Employee Nomination

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A storytelling and community mobilization campaign to remove the stigma of mental health and prevent teen suicide.

© 2018-2025 Overflow, LLC. TM and ® Overflow, LLC.

The campaign for Zero Reasons Why® is not provided by mental health professionals and information and services provided under the campaign do not constitute mental health advice and should not be relied upon to treat mental illness or thoughts of suicide. The campaign enables grassroots teen-led activism to remove the stigma of mental health to help prevent youth suicide across the U.S.

The campaign, stories, and community activities that Zero Reasons Why mobilizes are not forums for personal disclosure of suicidal thoughts or behaviors. If you or a loved one struggles with mental health issues or suicidal thoughts or behavior, please seek medical assistance from a licensed professional or contact the National Suicide Prevention Lifeline by texting HELLO to 741741 or dialing 988.