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* 1. Please provide your contact information below:

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* 3. Do you have a NAMI membership? If you are not a current NAMI member, you must become one prior to the training. Memberships are available starting at $5. Click here to become a member.

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* 4. If yes, which email is connected to your NAMI membership/login?

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* 5. Have you seen an In Our Own Voice (IOOV) Presentation?

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* 6. Have you attended other NAMI courses or classes? If yes, please describe:

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* 7. Are you a currently certified to teach/lead any other NAMI Signature Programs? If yes, please list:

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* 8. Do you have access to a computer and Internet for this training?

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* 9. Please Answer The Following Questions In 1-2 Sentences: Describe why you would like to become an In Our Own Voice presenter.

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* 10. Describe your experience as a person with lived experience, and what recovery means to you.

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* 11. Describe your work/ volunteer experience and/ or qualifications to become a presenter.

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* 12. Presenter Requirements (please check off that you agree to all of the following requirements):

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* 13. Is there anything else you'd like to share?

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* 14. Which of the following languages do you speak most fluently in? (Please select all that apply.)

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* 15. How did you hear about this program/ training?

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* 16. What is your race or ethnicity?

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* 17. What is your gender?

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* 18. Signature (by typing your name in the above box you confirm that all information in this application is true).

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* 19. Today's Date

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