Family-to-Family Teacher Application

Please email Serena Durand at serena@namica.org with any questions you have regarding this training.

Teacher Application

In order for your application to be considered you MUST have the endorsement of your local NAMI Affiliate's Executive Director or Board President. Please attach a letter of endorsement to this application.

Please answer these questions for training as a NAMI F2F Teacher

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* 1. Contact Information

Name

Address

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 2. Do you support a family member with a mental health condition?

Yes

If YES, please specify:

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* 3. When was your family member first diagnosed? (Please specify their diagnosis)

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* 4. Does this relative live nearby?

Yes

Does this relative live with you?

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* 5. Has your relative recently experienced a mental health crisis?

Yes

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* 6. What NAMI affiliate are you a member of? (it is required that you are a NAMI member)

Yes

If Yes, for how long?

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* 7. Have you done other volunteer work for NAMI?

Yes

Please describe:

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* 8. Have you taken the Family-to-Family course?

Yes

If no, please explain why

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* 9. This training begins Friday (October 18th, 2019) at 1pm, and ends Sunday (October 20th, 2019) 12pm. Will you be able to attend the entire training.

Yes

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* 10. Will you be available to teach a F2F course within the next 6 months.

Yes

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* 11. Who recommended you for this training? (Recommendation from an affiliate leader is required)

First Name

Last Name

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* 12. What is their involvement with NAMI? (Executive Director/F2F Teacher/FSG Facilitator, etc.)

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* 13. What is their email and other phone number? required

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* 14. Education Program classes require reading the curriculum aloud. Do you consider yourself a good reader?

Yes

If No, please explain:

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* 15. To be a successful NAMI teacher, you need to respond to others in a non-judgmental way, be a good listener with an empathetic ear, and you need to be willing to talk about your experience as a family member of someone who has a mental illness. With this in mind, please briefly explain why you want to become a NAMI instructor: