NAMI Family to Family Class Leader Application:  Escambia, Santa Rosa, Okaloosa, Walton, Bay, Leon and surrounding Counties ONLY!
NAMI Family-to-Family is a free, 8-session educational program for family, significant others and friends of people with mental health conditions. It is a designated evidenced-based program. This means that research shows that the program significantly improves the coping and problem-solving abilities of the people closest to a person with a mental health condition.

NAMI Family-to-Family is taught by NAMI-trained family members who have been there, and includes presentations, discussions and interactive exercises.

The classes are led by trained leaders who've been there!

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We are currently looking for individuals in the Northwest Florida areas from Pensacola through Tallahassee!
Application for NAMI Family-to-Family to be completed by the applicant. 

The following criteria must be met in order to become a Family to Family teacher:

*Have a close relative with a mental health condition
*Have attended and completed the 8-week Family to Family Class
*Complete the Learning Center online training module (Your affiliate must recommend you for the online training)
*Complete the virtual Family to Family training and become certified to facilitate. Weekend Zoom Training Available Sat & Sun 9:00 - 5:00 PM. Dates TBD.
If you meet these qualifications, please proceed to the next section to begin your application.
Date *
Name *
Email *
Address *
Phone Number *
To protect our online meeting trainees, we ask all participants to provide us with an emergency contact person that we could contact ONLY in the event of an emergency. This information is kept completely confidential - it will never be sold or shared. 
Emergency Contact 
Name, Relationship, Email and Phone Number
All NAMI Program Leaders must be current members. Are you a member of NAMI?
If yes, which affiliate ?
Your answer

Have you participated in and completed the 8-week NAMI Family to Family Class?
If no, are you willing to participate in and completed the 8-week NAMI Peer to Peer Class? *
I prefer to teach: *
I am available to teach: *
Are you a family member or caregiver of someone one with symptoms of a mental health condition?
If yes, what is your relationship to that person?
How long have they had symptoms of a mental health condition? Please indicate the number of years they have had symptoms and their current age.

Do you have a mental health condition?
In 5-10 sentences please describe your personal experience with mental health conditions (your own, your loved one's or both). 
Why do you want to become a NAMI Leader? 
What does recovery mean to you?
What are your views on mental health treatment (medication, traditional, non-traditional)?
I understand that all NAMI programs are copyrighted. I will adhere to the Program Operating Policies and Conduct of Conduct, and I will present according to these policies at all times.  

I understand that my attendance at the NAMI Peer to Peer Training does not guarantee that I will be certified as a Peer to Peer teacher. If I receive the teacher certification, I understand/agree to serve as a leader in three classes during a two-year commitment, or close to these time limits. The time, energy and expense of training each facilitator make this a necessity. It is understood, of course, that unexpected situations may occur that will necessitate compassion and flexibility in this policy. 

I agree to only use approved NAMI Peer to Peer materials that are provided in my Leader Manual. I also agree to send all reports to the local NAMI Affiliate Program Coordinator and to the NAMI State Program Director.

Please indicate by typing your name and date.
Are you or have you been a member of the armed forces?

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Are you a family member of someone one who has served in the armed forces?

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