NAMI Wisconsin
Family-to-Family Teacher Training
Date: October 18 - 20, 2019
Location: NAMI Fox Valley Office

This form must be completed by September 18, 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 Family-to-Family is a NAMI signature program. Our affiliate will refer to this course as "NAMI Family-to-Family Program" in all printed material.

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* 3. I have read and understand the NAMI Signature Program Operating Policies and agree that the affiliate will adhere to the policies. (Among others, these policies state that the affiliate and the teachers will: honor the copyright status and the process for obtaining permission to reproduce handout materials; not charge a fee for the course; maintain the course length ; send only NAMI members to the teacher training and have only NAMI trained family members serve as the teachers.)

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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 Thursday and Sunday evening meals.

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* 5. 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. I also agree that all future participation course materials are the financial obligation of the affiliate.

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* 6. I understand that the individual I send has to have the ability to read aloud significant amounts of reading material at an advanced reading level.

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* 7. I certify all teacher trainees from our affiliate is a Family Member of someone who identifies as living with a mental illness. Also this family member is far enough in their acceptance of their family members illness and are currently in a healthy place to offer this class.

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* 8. SIGNED: Please enter name as signature, Thank you.

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

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