NAMI NC 2023 Annual Conference Scholarship Application

Thank you for your interest in applying for a scholarship to attend the 2023 NAMI NC Annual Conference at the Durham Convention Center on October 6th, 2023 from 8:00am - 5:00pm. Scholarships are limited and not guaranteed. Please complete the application form to be considered.

Question Title

* 1. Please provide your contact information

Name

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 2. NAMI Affiliate

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* 3. Does your affiliate president support your attending this conference?

Yes

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* 4. Are you a current NAMI Member?

Yes

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* 5. Are you a:

Person with a lived experience

Family member of someone affected by mental illness

Affiliate Leader

Young/Emerging Leader

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* 6. Have you attended a NAMI NC Annual Conference before?

Yes

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* 7. Please detail your efforts to improve the mental health of the peers in your community.

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* 8. How do you hope to benefit from attending this conference?

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* 9. How will you share what you learn with your local affiliate?

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* 10. If selected, what support would you need from NAMI NC?
(Select all that apply)

Room/Board

Transportation from current residence to conference

NAMI NC 2023 Annual Conference Scholarship Application

Question Title

* 1. Please provide your contact information

Question Title

* 2. NAMI Affiliate

Question Title

* 3. Does your affiliate president support your attending this conference?

Question Title

* 4. Are you a current NAMI Member?

Question Title

* 5. Are you a:

Question Title

* 6. Have you attended a NAMI NC Annual Conference before?

Question Title

* 7. Please detail your efforts to improve the mental health of the peers in your community.

Question Title

* 8. How do you hope to benefit from attending this conference?

Question Title

* 9. How will you share what you learn with your local affiliate?

Question Title

* 10. If selected, what support would you need from NAMI NC? (Select all that apply)

* 10. If selected, what support would you need from NAMI NC?
(Select all that apply)