Campaigns for co-responder programs, mobile crisis units, and crisis intervention team training need more than a mailing list. Organizers need to know where supporters live, why they care, and what they are willing to do. This advocacy registration form gathers that information so a campaign can match people to the right actions, from signing a petition to testifying at a public hearing.
Supporters share their name, email, optional phone, ZIP or postal code, and city, which helps organize local efforts. They choose the description that best fits them, such as family member, person with lived experience, mental health professional, or first responder, then pick the initiatives they support and their top priority for improving crisis response. Later questions cover how they want to help, how much time they can give, their skills, and how they want to receive updates.
The form treats personal experience with care. Supporters who say they or a loved one have experienced a mental health crisis can choose to describe it, and only those who write something are asked whether they could be contacted about sharing their story publicly. Picking Other as a role opens a short field to describe it. A required consent to be contacted and an optional question about appearing on public supporter lists close the registration.
