Campus Representative Application Form PLEASE DO NOT USE AI IN THE APPLICATION PROCESS Name *Sex *MaleFemaleOthersDate of Birth *Email Address *Contact Number *Detail Address *City *Postal Code *LinkedIn Account URLIf ApplicableOther Social Media URLsIf ApplicableInstitution Type *SelectPrimary SchoolHigh SchoolCollegeUniversityInstitution *Education Level *SelectGrade08Grade09Grade10Grade11Grade12University 1st YearUniversity 2nd YearUniversity 3rd YearUniversity 4th YearMajor or DisciplinePlease leave it blank if it's not applicable for youMotivation *Why do you want to become a Campus Representative for MindFirst?ExperienceDo you have any prior experience in mental health advocacy, volunteering, or leadership roles?Commitment *How many hours per week can you dedicate to this role?Vision *How would you promote mental health awareness on your campus? (Share 1–2 ideas)Coordination *Are you willing to coordinate with peers, school authorities, and the MindFirst team to conduct events or workshops?YesNoConsent 01 *If selected, do you commit to upholding MindFirst's values of empathy, inclusivity, and ethical engagement?Consent 02 *Would you be open to attending a virtual onboarding session and monthly check-ins?Where did you heared about us? *FriendsLinkedInFacebookInstagramX (Former Twitter)Official WebsiteEmailBGNApplication Experience *How satisfied you're with the application process?012345Any question, queries or suggestions?Submit Application
