Personal Pledge - Change Direction

Name*

First Last

Age*

Are you currently a college or university student?*

Yes
No

I'm currently a:*

What is the name of your school and program of study?*

I pledge to learn the Five Signs of emotional suffering and to:*

Check all options that apply below.

Share info from this site to someone in need.
Look out for friends and loved ones and support them when needed.
Share my mental health story to help others understand mental health.
Challenge mental health discrimination when I hear or see it.
Volunteer at a local event to raise awareness of mental health.
I prefer to submit my own pledge (enter below)

My Pledge*

Enter your custom pledge below. Thanks for sharing!

Reach

Let us know how many people you pledge to share the signs with.

Please enter a number greater than or equal to 0.

Email*

Enter Email Confirm Email

City & State*

In what city and state do you reside?

City State / Province / Region ZIP / Postal Code Country

Upload a picture or image (optional)

If you would like to share photo or image to accompany your pledge, please upload. Files must be png, gif, png, jpg and not exceed 20MB.

Permission to use your pledge*

I agree/do not agree that my individual pledge and photo can be used on the www.changedirection.org website or in social media to help inspire others to make a pledge

Yes, I agree
No, I do not agree

Comments

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I Pledge

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