Thank you for updating your chapter contact information with us. All fields are required to add or update a chapter contact or advisor so please provide complete information. If you have a permanent email address (like a gmail or a yahoo) it will be easier to ensure you will get our emails moving forward.

You can use this form to add new contacts or update contacts to "former" status to indicate they are no longer affiliated with your chapter.

School Name (No Abbreviations)

If your school does not appear in the drop down menu, please email chapters@activeminds.org for support.

State

First Name

Last Name

Email Address

Phone Number

Chapter Role

Status

Graduation Year

Graduation Semester

After submitting this form you will receive and email confirmation and redirected to the same form in case there are additional updates

Account ID

Contact Information