In Our Own Voice Presenter Training Application

September 14, 2024  Via Zoom video conference

Sign in to Google to save your progress. Learn more
Name: *
Home Address: *
City/State/Zip: *
Phone: *
Email: *
Emergency Contact (someone who will be physically near you during the training) -- Name:
*
Emergency Contact -- Phone:
*
Emergency Contact -- relation to you (e.g., spouse, friend, parent, etc.):
*
Primary NAMI affiliate for which you plan to serve as an In Our Own Voice presenter:
*

Presenter Requirements:

·         Be at least 18 years old at the time of the training.

·         Identify as being in recovery from a mental health disorder.

·         Be recommended for this volunteer role by the leadership of your NAMI affiliate.

·         Be available for a brief applicant screening by video conference or phone.

·         Authorize a criminal background check.

·         Complete an individual online training prior to attending the live group training.

·         Be or become a member of NAMI prior to the training.

·           Attend the entire 8-hour training. 

Please check box to indicate that you have read and understand the above requirements.

*
Required
Are you an individual living with a mental health disorder?
*
Your diagnosis is:
*
Have you ever been convicted of a felony?
*

If yes, please explain.

Have you attended an IOOV presentation?

*

Please briefly describe your experience with mental illness and recovery, and tell us why you want to become an IOOV presenter:

*
Have you taken other NAMI courses or trainings? If yes, please list below.

Once trained, you would be willing to make IOOV presentations:

*
Device you plan to use to participate in the training:
*

This training requires significant amounts of reading, writing, and speaking. Do you have any physical or other issues that affect your ability to carry out these activities? If yes, please explain.

Please list any need special for accommodations:

Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of NAMI Oregon. Report Abuse