B: Application (NAMI Family-to-Family) for potential teachers, October 18 - 20, 2019

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NAMI Wisconsin

Family-to-Family Education Course Teacher Training
Date: October 18 - 20, 2019
Location: NAMI Fox Valley, Appleton WI

This form must be completed by September 18, 2019.

Question Title

* 1. Welcome! Which NAMI Wisconsin Affiliate is sending you to this training?

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* 2. Your Contact Information

First and Last Name *

Address *

Address 2

City *

State *

ZIP/Postal Code *

Email Address

Question Title

* 3. Phone number

Please sign your initials in agreement next to each of the following statements:

Question Title

* 4. I make a commitment to attend the 3 day training program October 18 - 20, 2019.

Question Title

* 5. I also agree that I am committed to teach the NAMI Family-to-Family Education course for my affiliate at least upon certification.

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* 6. I understand that NAMI Wisconsin will pay for the initial training, training materials and meals. Costs for travel to and from this training, all lodging and the meals on Thursday and Sunday evening are the responsibility of myself or my sponsoring affiliate.

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* 7. I will honor the NAMI Family-to-Family Implementation Requirements.

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* 8. I understand that I will be required to read a significant amount of material, and the language of this reading material is often at an advanced level. I will also have to navigate showing videos from a computer and access information from the NAMI website.

Question Title

* 9. In addition, I acknowledge that all mentor materials and handouts are protected by copyright and will not be copied without written permission of the copyright holder.

Question Title

* 1. Welcome! Which NAMI Wisconsin Affiliate is sending you to this training?

Question Title

* 2. Your Contact Information

Question Title

* 3. Phone number

Question Title

* 4. I make a commitment to attend the 3 day training program October 18 - 20, 2019.

Question Title

* 5. I also agree that I am committed to teach the NAMI Family-to-Family Education course for my affiliate at least upon certification.

Question Title

* 6. I understand that NAMI Wisconsin will pay for the initial training, training materials and meals. Costs for travel to and from this training, all lodging and the meals on Thursday and Sunday evening are the responsibility of myself or my sponsoring affiliate.

Question Title

* 7. I will honor the NAMI Family-to-Family Implementation Requirements.

Question Title

* 8. I understand that I will be required to read a significant amount of material, and the language of this reading material is often at an advanced level. I will also have to navigate showing videos from a computer and access information from the NAMI website.

Question Title

* 9. In addition, I acknowledge that all mentor materials and handouts are protected by copyright and will not be copied without written permission of the copyright holder.

Question Title

* 10. Do you have any dietary allergies or require special physical accommodations? Please describe.