Sign up to become a Rethink Mental Illness Activist

Thank you for your interest in becoming a Rethink Mental Illness activist. Together we can change things for the better. The Activist Team will be in touch shortly after you have signed up. If you would like a hard copy of this form, please contact campaigns@rethink.org or call 020 7840 3147.

All information submitted here or via the paper copy of the form will be kept strictly confidential.

Rethink Mental Illness is an England wide charity. If you live outside England, please read about our sister organisations.

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Personal Details

Equal Opportunities Monitoring

This section is optional although it would help us if you could complete the questions. Rethink Mental Illness is committed to implementing its Equal Opportunities Policy in all aspects of its work.

Ethnicity - please select an option or write in the box below

About you

Please note, this information is kept strictly confidential.
Only fields marked with a star are required.

Please tick as many of the following that apply to you
Your interests
Interested in campaigning?

Tell us your story

Sharing your personal experience is a big help for our activist team. Of course we understand if you find this difficult, so please only include information you feel comfortable about sharing.

  • Please tell us when you (or the person you care for) began feeling poor mental health and what led up to it. What happened next? What treatment and support have you received?
  • Also, please tell us if you have personal experience of the campaign issues you may have ticked above.
If working with the media I am willing to

I would like to sign up to be a Rethink Mental Illness activist

Rethink Mental Illness takes great care to safeguard personal data provided by our activists, and to process this data fairly and lawfully in accordance with the Data Protection Act 1998. We will not pass your details on to any other organisation. By completing this form and inserting your name below, you are agreeing to be contacted by the Activist Team and those Rethink Mental Illness departments you have expressed an interest in above.