Parent & Family Advisory Committee

Parent & Family Advisory Committee

The SafeUT & School Safety Commission is establishing an advisory committee to identify support, and strengthen key components within the prevention community.

Areas of focus include suicide prevention, bullying, and school safety. Committee meetings will be conducted via Zoom. Utah parents who are interested in serving on this committee are invited to complete the application below.

Name

Preferred Method of Contact

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E-Mail Address

Phone Number

Are you a parent/guardian of a K-12 student?

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Current Occupation

Relevant experience in mental health

If applicable, please share any experience you have in mental health or community support.

Do you have any experience in suicide prevention?

e.g. crisis intervention, peer support, community education, advocacy, etc.

Relevant certifications/trainings:

e.g. QPR, ASIST, Mental Health First Aid, etc.

Experience with anti-bullying/school safety?

Why are you interested in joining the committee?

What perspective/skills would you bring?

Are you able to commit to regular attendance?

Meetings will be held virtually via Zoom, with time/day of the week TBD.

Select

List relevant affiliations, memberships, etc.

Have you personally experienced suicide loss?

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Please share who you lost to suicide/when:

References

If you'd like to include references, please share their name, contact info, and your relationship with them.

Acknowledgement

I affirm that the information provided is accurate and that I am willing to actively participate in the SafeUT Parent & Family Advisory Committee meetings and initiatives.

I understand that this Committee is a subcommittee to the legally mandated SafeUT Commission. The Parent & Family Advisory Committee does not have a vote on commission matters. As a member of the Parent & Family Advisory Committee, I acknowledge that I have no authority to speak on behalf of the SafeUT organization or the Parent Advisory Committee.

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Send me a copy of my responses

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