NAMI Wisconsin 
Basics Teacher Training
Date: May 18 - 19, 2019
Location: Holiday Inn, Pewaukee, WI

This form must be completed by April 18, 2019.

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* 1. Affiliate Info

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

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* 2. I understand that Basics is a signature NAMI program. Our affiliate will refer to this course as "NAMI Basics 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; 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 Friday 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(s) I send has the ability to read aloud significant amounts of reading material at an advanced level, can speak in front of a group and has the personal skills to conduct a class.

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* 7. I believe the individual(s) I send has developed the coping skills needed to deal with their family situation and are in a place that they can share their story and support others.  This is important for the individual as well as future participants in their class.  

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* 8. I certify all individual teacher trainees from our affiliate is a parent or direct caregiver of someone who identifies as living with a mental illness, and developed symptoms of mental illness before the age of 13.

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* 9. SIGNED: enter your name as a signature.  Thanks You!

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* 10. EMAIL ADDRESS:

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

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