Do you want to get involved at a local HDSA event?

We would love to have you attend and participate at your next local HDSA event. If you do not know how, what, where, when.. we are here to help you figure it out and what would best work for you! Tell us a little bit more about yourself and any involvement or participation you have had in the past within the community.

If you have any additional questions, please reach out directly to MaryAnn Emerick, Manager of Youth and Community Services. memerick@hdsa.org

Thank you!!

First Name *

Last Name *

Where do you live? (city, state) *

What is your email? *

Have you ever been to a HDSA event? *

Yes

Are you connected with your local HDSA Chapter/Affiliate? *

Yes

Have you ever been involved within the NYA? (ex. attended a NYA Retreat, NYA Day, NYA Miniseries, Support Group or spoken with a youth social worker?) *

Yes

Would you want to represent the NYA at an event? (have a table, provide information, and/or speak about NYA programs etc.) MaryAnn Emerick (Manager, Youth and Community Services) will help and guide you! *

YES

Maybe.. need more information.

What would you like to do as a volunteer? Note: volunteer options are not limited to the following. (Rate from 1-5 ; 1 being the best).

	HDSA Team HOPE Walk
	Chapter/Affiliate committees
	Education
	Social Media
	Advocacy
	No Idea