2020 Advanced Parent Leadership Training Pre-Registration

Building your skills and confidence around advocating for all children with mental health needs and their parents.

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* 1. Tell us about yourself.

Name: *

Address: *

Address 2:

City/Town: *

State: *

ZIP: *

Email Address: *

Phone Number: *

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* 2. Are you a parent/primary caregiver of a child/youth/young adult who had a mental health challenge?

Yes

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* 3. Did your child begin to experience these mental health needs before the age of 18?

Yes

Other (please specify)

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* 4. Are you connected with your local NAMI affiliate?

Yes

If yes, which one?

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* 5. Have you ever attended any of the following events hosted by NAMI Virginia?

NAMI Basics

Children's Challenging Behaviors

Family and Youth Leadership Summit

Parent Support Group

Another VFN Training

Other (please specify)

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* 6. Why are you interested in taking this training?

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* 7. What has been your experience with navigating the children's mental health care system?

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* 8. By taking this training, our hope is that you commit to at least one of the leadership opportunities below. Of course, we understand that things come up or it's not always possible. However, please check off which opportunity or opportunities are of interest to you.

Lead a parent support group in your community

Train other parents and professionals on topics related to the voices and needs of families and youth

Provide individual support and education to other parents

Speak at budget hearings, legislative events

Speak to the media

Serve on your CSB Board, FAPT, CPMT, and other community committees

Provide expertise or perspective at meetings, conferences, panels, etc.

Serve on the VFN Advisory Board

Other (please specify)

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* 9. Thank you very much for your application! We will be in touch shortly to follow up, address any questions you have and confirm your attendance. In the meantime, let us know if you have any questions or need any additional information. Thank you again!!

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* 10. If selected to attend, will you need

a childcare stipend

a travel stipend

both a childcare and travel stipend

neither

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* 1. Tell us about yourself.

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* 2. Are you a parent/primary caregiver of a child/youth/young adult who had a mental health challenge?

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* 3. Did your child begin to experience these mental health needs before the age of 18?

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* 4. Are you connected with your local NAMI affiliate?

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* 5. Have you ever attended any of the following events hosted by NAMI Virginia?

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* 6. Why are you interested in taking this training?

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* 7. What has been your experience with navigating the children's mental health care system?

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* 8. By taking this training, our hope is that you commit to at least one of the leadership opportunities below. Of course, we understand that things come up or it's not always possible. However, please check off which opportunity or opportunities are of interest to you.

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* 9. Thank you very much for your application! We will be in touch shortly to follow up, address any questions you have and confirm your attendance. In the meantime, let us know if you have any questions or need any additional information. Thank you again!!

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* 10. If selected to attend, will you need

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* 11. If selected to attend, do you have any dietary or other accommodation factors we should be aware of?