Teen Mental Wellness Hill Day Virtual Interest Form

First Name:

Last Name:

Company (if applicable):

Email:

Phone Number:

Find your elected official to fill out the information below. USE THIS SITE: https://myvote.wi.gov/en-us/My-Elected-Officials

​Name of Senator:

Name of Representative: 


 

Thank you for your interest in participating in Teen Mental Wellness Hill Day virtually.

We will be in touch with more information soon. If you have any questions, please contact Jeremy Simon at jsimon@unitedwaygmwc.org.