Become a Member

2015 Membership Application for the Massachusetts Coalition for Suicide Prevention

The Massachusetts Coalition for Suicide Prevention is becoming a membership organization, with an annual dues structure that will generate revenue sufficient to cover many of the key advocacy activities of the coalition. There are two key reasons for this change:

  • In these uncertain financial times, we cannot depend upon funding solely through the Massachusetts State Department of Public Health for all coalition-related activities.
  • There have been significant changes to the advocacy/lobbying regulations that require revenue apart from public funds in order to ensure that our coalition has a continuing voice in shaping suicide prevention policy and to continue the education of our legislators on this important issue.

Become a member of the leading Massachusetts suicide prevention collaboration and enjoy these benefits:

  • Be a voice /play a role in shaping suicide prevention policy
  • Participate in educating legislators and other policy makers on suicide prevention and related issues
  • Opportunities to network with other individuals and organizations who are committed to reducing the incidence of suicide
  • Increased access to suicide prevention experts throughout the state
  • Listing as member on the coalition website with organizational website/contact information
  • Organizational scholarships to the annual conference (see descriptions, above)
  • Individual discounts to the annual conference (see descriptions, above)
  • Use of the Coalition Listserve to quickly connect with other coalition members on topics of importance
  • Notification of all Coalition meetings, trainings, state house event and state conference
  • Memberships are effective for a calendar year (January through December)

Membership fee is on a sliding scale.
Please submit the appropriate amount for your organization.

Lead Membership*

  • $1,000 annual dues for organizations with annual revenues that exceed $1,000,000
  • 10 memberships per organization
  • 5 scholarships to annual conference

Associate Membership*

  • $500 annual dues for organizations with annual revenues between $250,000 and $1,000,000
  • 5 memberships per organization
  • 3 scholarships to annual conference

Corporate Membership*

  • $250 annual dues for organizations with annual revenues under $250,000
  • 3 memberships per organization
  • 2 scholarships to annual conference

Individual Memberships*

  • $25 dues per member
  • 50% discount on fee for annual conference

*The equivalent of 30% of annual dues will be provided to a regional coalition if designated by the organization and/or individual

Instructions for becoming a member of the Massachusetts Coalition for Suicide Prevention

Complete online application; you will receive an electronic invoice shortly.

–OR–

Complete the application for MCSP membership form: 

2015 Membership Application for the Massachusetts Coalition for Suicide Prevention

 2014 Membership Application for the Massachusetts Coalition for Suicide Prevention

and

Submit completed application form, along with payment, to:

Massachusetts Coalition for Suicide Prevention
c/o Jennifer Kelliher, Managing Director
945 Concord St
Framingham, MA 01701

Questions regarding membership should be directed to our Managing Director
Email: JKelliher@MassPreventsSuicide.org
Phone: (617)-297-8774

Sign up here:

*Name of individual member or organizational contact

*Organization Name (for individual memberships with no organizational affiliation, please enter n/a)

*Type of Membership

*Mailing Address (street, city, state, zip code)

*Phone

*Email Address (required)

(For Organizational Members Only)

Names and email addresses for organization memberships within your organization.

Regional Coalition in which you/ your organization participates

 

 

Massachusetts Coalition for Suicide Prevention Organizational Members 2015:

 

LEAD:

AdCare

Advocates

American Foundation for Suicide Prevention (AFSP) Boston and Western Massachusetts Chapters

Berkshire Medical Center

Community Counseling of Bristol County

Heywood Hospital

Justice Resource Institute (JRI)

Massachusetts Council on Compulsive Gambling

Riverside Community Care

Samaritans, Inc.

Screening for Mental Health

William James College (formerly Massachusetts School of Professional Psychology)

 

ASSOCIATE:

Families for Depression Awareness

Jewish Family & Children’s Service (JF&CS)

 

CORPORATE:

Call2Talk

Center for Human Development

The Josh Anderson Foundation

Metro Suburban Recovery Learning Community

PFLAG

Samaritans of Merrimack Valley/ Family Services of the Merrimack Valley

The Samaritans on Cape Cod and the Islands

The Samaritans of Fall River/ New Bedford

See a New Sun Foundation

Tapestry Health

Teenage Anxiety and Depression Solutions (TADS)