Membership Application - Central Florida Veterans Mental Health Council

Name *

First

Last

Email *

Please enter your email, so we can follow up with you.

Please select from the following: *

I am a consumer of VA mental health services
I am a family member (broadly defined) of a mental health consumer
I am a member of a community mental health organization or advocacy group (Non Voting Member)

I would like to serve on the Veterans Mental Health Council because:

I have contact with Veterans through the following groups and programs and I believe I can represent concerns of these Veterans.

Please comment on your communication skills:

The functions of the council are: A. Educating Veterans families staff and community about VA services and mental health issues unique to Veterans B. Reducing stigma associated with mental illness C. Provide Veterans and other stakeholders input into VA mental health services. D. Advocate for implementation of best practice models. E.Promote an active atmosphere and attitude of hope and recovery. I believe I can further these goals in the following ways:

Do you have any ideas of the way services can be improved in behavioral health at this time?

Do you anticipate that you will be able to attend in person most meetings? Meetings are scheduled bi-monthly for 90-120 minutes. Plus, occationally there are additional tasks that require work outside the Council. (There is also a VANTS line that allows for participation by speaker phone if you are unable to be physically present.)

I learned about the Council by:

Any other comments you would like to share?

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