NAMI Young Adult Support Group Interest Form
The NAMI Young Adult Support Group is where young adults (ages 18 to 25+) can gather and connect in a non-judgmental and supportive environment. Every first and last Tuesday of the month, we will meet on Zoom and introduce a topic surrounding mental health. This 1-hour support group is a great place to meet new people, share stories, and support each other! Most importantly, you are not required to share anything you do not want to! This survey will be used to gather information about who's interested in attending our group. We can't wait to meet you! :-)
Sign in to Google to save your progress. Learn more
Please state your name and preferred pronouns that we can use to address you. *
What is your email address? *
In order to participate in this group you must provide an emergency contact. Please provide that to us by sharing their name and phone number. *
What is your year in college and major?
If you're not in college, what do you do for a living?
Are you planning on attending our support group? *
Confidentiality Statement: Everything that is said in the group will remain CONFIDENTIAL. The only exception to that rule is if we feel you may harm yourself or others and if a vulnerable population of individuals is in harms way (i.e. elderly, children, and individuals with disabilities). Choose "Yes" if you agree to this statement or "No" if you do not agree to this statement (Keep in mind you have to agree and understand to be able to attend our group!) *
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy