Register for Emerging Leaders

Email Address *

Job Title *

What cities do you serve? *

What organization do you represent? * 18 Degrees Worcester Youth Center UTEC Inc. (Lowell, Lawrence, Haverhill) Roca Lynn More Than Words Mothers For Justice & Equality Madison Park Development Corporation Project Right Inc. Boston Uncornered Old Colony YMCA NorthStar Learning Center Greater Fall River RE-CREATION Roca Springfield New North Citizens Council Other

What is your primary role in relation to the GVP program? * Organizational Leadership (e.g., president, executive director, vice president, board member) GVP Management / Leadership (e.g., GVP program director, GVP program manager, GVP program supervisor) Frontline Clinical Staff (e.g., counselors, clinicians, mental health professionals) Frontline Youth Development Staff (e.g., case managers, street workers, youth development workers, mentors) Other

Which GVP program components are you responsible for? * (select all that apply) Street outreach Comprehensive social needs assessment / referral (case management) Mentoring Mental and Behavioral Health Services Workforce development and educational services Community Engagement and Mobilization Other

Dietary Restrictions

Accessibility Accommodations Needed