NAMI Scholarship Application (2018-2019)
Thank you for your interest in a NAMI Indiana scholarship. NAMI Indiana awards scholarships to help individuals living with mental illness or their family members attend conferences, trainings, symposia, focus groups or continuing education opportunities related to mental health and recovery. Please complete the form below, and we will notify you via email if you meet the criteria.

PLEASE NOTE: NAMI Indiana is unable to award any one person a scholarship of more than $500 per fiscal year (July 1 - June 30). NAMI Indiana does NOT provide scholarships for out of state conferences and travel. You have an opportunity to request funding for transportation and lodging but this funding is contingent upon approval from the state Division of Mental Health and Addiction. If your scholarship application is conditionally approved, NAMI Indiana will work with you to secure the documentation needed to award your scholarship.

First Name *
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Last Name *
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Street Address
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City
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State
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Zip Code
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I am: *
Are you an active NAMI Member?
Email Address *
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Primary Phone Number *
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Please provide the name, date, location, and a brief description of the event for which you are seeking funding.
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Amount of Funding Requested for Registration Fee (please provide link to registration if available). *
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Amount of Funding Requested for Transportation (please provide explanation, ie mileage, car rental, bus ticket).
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Amount of Funding Requested for Hotel / Lodging (please provide explanation).
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What do you hope to learn/gain by attending this event? *
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Other Comments
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