Empowering Minds Community Application

Tell us about your community, its strengths, its needs, and the local people prepared to lead this work.

Explore Empowering Minds

Need immediate help?
Empowering Minds is not a crisis service. Call or text 988 in the United States for immediate crisis support.

About this application

The Empowering Minds Community Application is designed for communities, agricultural organizations, fairs, civic groups, schools, organizations rooted in faith, and local partners interested in hosting the Empowering Minds initiative.This application helps us better understand your community, its unique strengths and challenges, and your readiness to engage in a meaningful community wellbeing effort focused on prevention, connection, and early intervention.By completing this application, you will:

Share information about your community, organization, and local leadership capacity.
Identify the challenges and opportunities impacting mental health and wellbeing in your community.
Confirm logistical details such as venues, local partnerships, outreach capabilities, and event support.
Describe the outcomes you hope to achieve through Empowering Minds.
Outline how your community plans to sustain momentum and impact beyond the initial program.

Empowering Minds is built on a simple belief: all things begin with well human beings. Strong communities are built by equipping local leaders and everyday citizens to recognize when someone may be struggling, engage in supportive conversations, and connect people with appropriate resources before challenges become crises.Your responses will help us assess your community’s readiness and identify how Empowering Minds can best support your local goals. Please answer each question as thoroughly as possible while keeping responses concise and focused.We appreciate your interest in creating a healthier, more connected, and more resilient community.

Community Application

Fields marked with an asterisk are required. Please answer thoughtfully and keep responses concise.

Organizational Name

First Name

Last Name

Person's Role

Phone

Community Name / Municipal Region

State / Province

Population (approx.)

Why does your community want to host the Empowering Minds initiative? (2 to 3 sentences)

What mental health challenges or concerns does your community face? (brief context)

Agricultural Society’s ability: Rate your readiness to lead (1 to 5) and challenges anticipated (e.g., volunteer capacity, outreach, staffing).

Local Organizing Committee: Who will be involved? (roles or small names list)

Awareness Campaign Plan: Do you have capacity for social media, local storytelling, or communications?

Venue Availability: Do you have access to space for leadership training, youth sessions, and supper event?

Community Supper:

Yes No

Delivery Dates or Timing Preferences (optional)

What would you like to achieve in your community? (e.g., reduce stigma, engage youth, build First Identifiers)

How will you sustain the momentum after the initiative? (e.g., ongoing community conversations, incorporating learnings)

Any other comments, needs, or questions?

Empowering Minds Community Application

Explore Empowering Minds

About this application

Community Application

The Foundation

Our Initiatives

Get Involved