We'd love to hear from you
Interested in the Core Four Partnership. Please send us your question, comments or concerns by filling up the form below. We'll do our best to to get back to you as quickly as possible.
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General Info
Youth Task Force
Young Adult Task Force
SMTX Mental Health Coalition
Programming/Events
Volunteer
Youth Coalition
Focus Group
Other
What's your affiliation?
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Youth
Parent
Community Partner
School Partner
Community Member
Young Adult
Other
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Name
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First Name
Last Name
Email
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example@example.com
Phone Number
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-
Area Code
Phone Number
School
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Please Select
Texas State University
Austin Community Colleges
Technical Program
Not Enrolled
Age
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Please Select
18
19
20
21
22
23
24
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Youth Email Address
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Youth Phone Number
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Youth Full Name
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School Enrolled In
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Grade Level
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Parent Full Name
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Parent Phone Number
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Parent Email
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community Partner or Other Affiliate Name
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community Partner or Other Affiliate Email
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COMMUNITY PARTNER OR OTHER AFFILIATE Phone Number
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Full Name
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Email
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PHone Number
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Affiliation
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