Industry leaders, technologists, researchers, legal experts, and similar professionals.
Click the button below to start.
This application is for industry leaders, builders, academics, legal experts, and similar professionals.
*If you are a CLINICIAN, please back out of this application and complete the "Clinician's Circle" application instead*
Question 2 of 14
Name
Question 3 of 14
Today's Date
Question 4 of 14
Your Professional Email
Question 5 of 14
City, State, Country of Residence
Question 6 of 14
Your current title.
Question 7 of 14
Your experience and/or education relevant to the AI mental health space.
AI Mental Health Collective Interest
Question 9 of 14
How did you hear about the AI Mental Health Collective?
Question 10 of 14
You're almost done with the application process!... What interests you about joining the Collective?
Question 11 of 14
Please share your LinkedIn profile and/or website.
Question 12 of 14
Any additional comments or questions?
Question 13 of 14
By writing my full name I attest that the information provided is true.
Please click the final SUBMIT button to ensure we receive your application.
We will be in touch within the next 1-3 business days!