Become a NNED Member Member InformationFirst Name* E-mail Address* Password* Confirm Password*Last Name* Username* Your Role What type of member would you like to become?*Community-based organization or agency contactIndividual interested in behavioral health equityIndividual affiliated with a community-based organization or agencyIndividual affiliated with a research institutionIndividual affiliated with a state/federal agencyWould you like your organization/agency's contact information featured in Partner Central (a private NNED member space). This enables other NNED members, including community-based organizations, State and County agencies to find your organization and connect!*YesNoOrganization/Agency InformationOrganization Name Department or Division (if applicable) Organization Address City* State*AKALARAZCACOCTDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWYASDCFMGUMHMPPWPRVIOutside of the USZip Code Website URL Organization TypePublic (i.e. government)Non-ProfitPrivate for ProfitFoundationOtherPhone Number (main line) Organization Level of FocusInternationalNationalRegionalStateTerritoryTribalCountyLocalBrief Description of Your OrganizationOrganization Social Media If/As applicable, please share your organization's social media pages (URL).Facebook Instagram X YouTube LinkedIn SoundCloud Populations ServedMain Population Served by Organization*African American/BlackAmerican Indian/Alaska NativeAsian AmericanHispanic/LatinxNative Hawaiian/Pacific IslanderWhiteVeteransMultiple Populations of FocusAll Populations Served by Your Organization*African American/BlackAmerican Indian/Alaska NativeAsian AmericanHispanic/LatinxNative Hawaiian/Pacific IslanderWhiteVeteransLocation of Community ServedUrbanRural and/or FrontierSuburbanTribal ReservationAge RangeEarly Childhood (0 - 5 years)Childhood (6 - 12 years)Adolescent (13 - 17 years)Young Adult (18 - 25 years)Adult (26 - 55 years)Older Adult (55+ years)Details About Your Population(s) ServedServices ProvidedFocus Area(s)Child WelfareCultural & Linguistic CompetenceEarly Childhood/Early InterventionEducation/Special EducationFaith-basedFamily Advocacy/EngagementHealthHousingInteragency CollaborationJustice SystemMental HealthSubstance AbuseTraumaViolence PreventionYouth Advocacy/EngagementType of Service(s)AdvocacyCase ManagementCrisis InterventionEducation/TrainingEvaluationFundingMental Health PromotionMental Illness TreatmentOutreachOversightProgram DevelopmentResearchSpeaking EngagementsSubstance Abuse PreventionSubstance Abuse RecoverySubstance Abuse TreatmentTechnical AssistanceTelehealthYouth DevelopmentLanguage ServicesSpanishChineseTagalogVietnameseFrenchOn-site Staff TranslationOn-site Staff InterpretationOtherDetails About the Service(s) Your Organization ProvidesJoining the NNEDReason(s) for Joining the NNEDAccess to information on best practices and innovative strategies in improving behavioral health for allOpportunities for community-based organizations or agencies to engage in professional development activities: NNEDLearn, Communities of Practice (CoP), WebinarsOpportunities for collaboration with other community-based organizations or agencies through Partner Central (a private NNED Member space)Access to private forums that support CoPs through continued dialogue and resource sharing with other NNED MembersThe bi-monthly “NNED Note,” an electronic newsletter that includes timely notice of funding opportunities, ongoing activities of the NNED, and other related effortsThe opportunity for my organization to be featured on Partner Central (a private NNED member space)If there are additional reasons you're interested in joining the NNED, please share them here:Member Agreement*I agree to accept the NNED's guiding principles as stated on the NNED website. Only fill in if you are not human
