NAMI Ending the Silence Presenter Application
All applicants must complete the following application and meet the eligibility requirements in order to participate in the Ending the Silence Program.
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Eligibility & Requirements
● Must be at least 18 years of age
● Must be in recovery for at least a year
● Willing to undergo online training
● Agree to adhere to fidelity of the NAMI Ending the Silence model at all times
● Make a commitment to do one presentation a month for one year
● Agree to report class data
● Is or is willing to become a member of NAMI
● Attitude of sincere, uncritical acceptance of students and co-presenter

Name *
First and last name
Address *
Include City, State, Zip
Phone *
Email *
Birthday *
NAMI Affiliate *
If you are not a member please enter, NA.
How did you find out about NAMI Ending the Silence?
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Availability
Check all that apply.
Day
Evening
Monday
Tuesday
Wednesday
Thursday
Friday
Do you have reliable transportation? *
Do you use the public transit system? *
Are you willing to travel? *
If answered 'yes', how far are you willing to travel? *
What languages do you speak fluently? *
Check all that apply.
Required
Which Ending the Silence position are you applying for? (Check all that apply)
Which of the following best describes you?
Check all that apply.
Individual living with mental health condition
Family member of someone living with a mental health condition
What is your (or your family member's) current diagnosis? *
Are you currently a NAMI Member? *
If not, are you willing to become a NAMI Member? *
Are you comfortable with self-disclosure? *
Are you able to maintain a positive outlook and talk about yourself without "going negative"? *
Are you willing to undergo a background check if required by your NAMI Affiliate? *
List other NAMI programs you have participated in and your role in the program (e.g., trainer, teacher, presenter, etc.): *
Please answer the following questions:
Why do you want to be an Ending the Silence Presenter? *
What is it about you (or your family member's) experience that you think the students will be able to relate to? *
What does recovery mean to you? *
What are your views on treatment for mental health conditions *
By 'Submitting' this form I affirm that all of the information contained on this application is true and correct to the best of my knowledge and has been completed by no other person. I understand that providing false information will be grounds to be removed from the application and training process.
If you have any questions or concerns, please contact Richard Dixon at rdixon@namiindiana.org, or call 1-800-677-6442.
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