Membership Form

Registration Details:

Authorized Representative:

Authorized Representative 2:

1. Have you or your organisation previously been involved with any mental health advocacy work?
   (Partnerships with government stakeholders / working on policies or regulations - please share examples, if any)

2. Please describe your or your organisation’s experience and skills in community engagement and capacity building: specifically, describe your key achievements and share three examples of how you have engaged communities to promote mental health awareness such as workshops, projects, initiatives etc.

3. Are you or your organisation qualified to provide mental health trainings, clinical supervision or engage in other capacity building interventions with coalition members?

4. Please elaborate on any innovative mediums/solutions for addressing mental health challenges that you have implemented. These can include any digital mental health technology, arts-based work, task-shifting approaches, etc. Please provide at least two examples, if applicable.

5. Joining the coalition will require you to attend the bi-annual General Body meetings and, if inducted into a sub-committee, to commit a minimum of five hours every month to attend their regular meetings. Will you be able to invest this amount of time, and how do you envision your role as a member?Yes, I am okay with the time commitment required and will actively contribute to the coalition’s activities.I will not be able to commit the required hours but will actively participate in the coalition's activities.Yes, I am okay with the time commitment required, but I hope to learn from existing members as a silent member of the coalition.I will not be able to commit the required hours, but I hope to learn from existing members as a silent member of the coalition.

6. In what capacity can your organisation contribute to the vision, mission and values of the PMHC?

I have read and agree with the constitution.