NAMI Wisconsin Peer-to-Peer Teacher Training
Date: July 13 - 14
Location: Best Western Eau Claire conference room

This form must be completed by June, 12, 2019.

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* 1. General Information

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

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* 2. I understand that Peer-to-Peer is a NAMI program. Our affiliate will refer to this course as "NAMI Peer-to-Peer" in all printed material.

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* 3. I have read and understand the implementation guidelines (among others, these policies state that the affiliate and the teacher will: honor the copyright status and the process for obtaining permission to reproduce handout materials; maintaining the length at eight consecutive weeks; having only trained mental health consumers who are NAMI members serve as the teachers. See attached Implementation Requirement Sheet, for complete list.)

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* 4. I understand that NAMI Wisconsin will cover the costs related to the training, including meals and training materials. Our affiliate or sponsored participants will be responsible for travel to and from the training, lodging and Friday and Sunday evening meals.

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* 5. I understand that any offering of the NAMI Peer-to-Peer eight week course is solely the financial responsibility of our affiliate.

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* 6. I agree that it is the responsibility of our affiliate to assist the teachers in finding a place to teach the course, arrange for publicity and cover incidental costs. 

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* 7. I understand that the individual(s) my affiliate sends to the NAMI Peer-to-Peer Teacher training has to be an individual living with a mental illness.

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* 8. I understand that the individual(s) my affiliate sends to the NAMI Peer-to-Peer Mentor training needs to be far enough along in their recovery that they are able to handle the important role of being a teacher of this program.

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* 9. I understand that the individual(s) my affiliate sends to the NAMI Peer-to-Peer Teacher training has to have the ability to read aloud a significant amounts of material, verbal present information about mental health, and requires two certified teachers.

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* 10. SIGNED: enter your name as a signature, Thank you!

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* 11. Please provide a list below of members attending this training that have your affiliates approval.  

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