Get Involved

SPAN USA is all about action!

And this is an important first step YOU can take to transform your concern to positive action-- and to help us save lives.

Take Action.jpg Opening minds, changing policy and saving lives depends on individuals and organizations becoming involved in efforts ranging from sending emails to your senators to helping survivors find a support group. To help us keep you up-to-date on our activities and ways in which you can help advance suicide prevention, please fill out the form below.

NOTE: Please use your home address so you will receive messages specifically for the area in which you may vote.

Required Field
Prefix:
First Name:
Last Name:
Organization:
Home Address 1:
Home Address 2:
City:
State:
Zip Code:
E-mail:
Phone:
Please check one or more of the following:

	I want to join SPAN USA’s Action E-List
	I want more information about becoming a Field Liaison for my Congressional District
	I want more information about becoming a Lifekeeper Quilt Organizer
	Other:

Tell us a little about yourself:

	I am a suicide survivor (survivor = a friend, loved-one, and/or co-worker died by suicide)
	I am a suicide attempt survivor (attempter = I have attempted suicide)
	I am a mental health provider
	I am a Survivor of Suicide group leader
	I am a public health professional
	Other: