In Our Own Voice Presentation Request Form
The In Our Own Voice presentation includes:

*60-90 minute presentation from adults living in recovery with mental Illness
*Includes a dvd presentation to educate the audience about signs and symptoms of various mental illnesses
*Emphasizes that mental illness is treatable and recovery is possible
*Includes personal testimony from an adult living with a mental illness about their journey to recovery
*Engages audience through Q & A session

IOOV reduces stigma through:
*Education – provide accurate information about mental illness to promote
understanding and dispel myths
*Personal contact – puts a human face to mental illness and provides hope that recovery is possible

If you would like an In Our Own Voice presentation, please complete the form below. If you have any other questions regarding the In Our Own Voice program, please contact:
Nan Ibarra, Family & Peer Coordinator
714-836-4138
nibarra@namioc.org

School / Organization *
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School / Organization Address *
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Room Number *
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Contact Name *
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Contact Phone Number *
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Contact E-mail *
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Requested Date of Presentation(s) *
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Number of Presentations Requested *
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Presentation Time(s) *
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Number of Estimated Participants in Attendance per Presentation *
Please enter the amount of participants that are expected in each presentation requested. This will allow us to bring an adequate amount of materials.
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Audio/visual equipment is available? *
Required
Parking pass needed? *
Required
Additional notes *
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