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Advisory Council Board Interest Form 
NAMI Central Oregon, PO Box 7462, Bend, OR 97708-7462

Thank you for your interest in joining the NAMI Central Oregon advisory council board.
By showing your interest in NAMI Central Oregon, you will receive our monthly newsletter and updates.
Email *
First Name *
Last Name *
Phone Number *
Street address  *
City *
State  *
Zip code   *
Are you a member of NAMI Oregon?  *
All NAMI Central Oregon board members must be NAMI Oregon members. Join here 
Please select all that apply to you

We are required by grant and contract terms to ensure adequate representation of individuals living with mental health challenges or loved ones of those living with mental health challenges. 

Please check all that apply to you and that you are comfortable sharing.
 *
Required
If you feel comfortable, please share more about your personal mental health story or about your journey with a loved one with mental health challenges.  *
What skills or assets will you bring to the NAMI Central Oregon Advisory Council Board and how will these skills benefit NAMI Central Oregon's organization and its members?
 *
Please list your relevant experience, including experience with NAMI. You may also use this section to include anything else you'd like to add.
 *
What impact would you like to see NAMI make in Central Oregon? How do you see yourself contributing to this impact?
 *
Board appointments are for a 3-year term. 

Our board typically meets from 5-6pm on the 1st Wednesday of the month. 

Board members frequently have 2+ hours of responsibilities in between meetings (often more). 

Please comment on any issues you anticipate with this significant time commitment."
 *
A copy of your responses will be emailed to the address you provided.
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