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NAMI Wisconsin
Peer Support GroupĀ Facilitator Training
Date: August 10 -11, 2019
Location: Conference room at Hampton Inn & Suites West Madison (hotel reservations are next door at theĀ 
tru by Hilton)

This form must be completed by July 9th, 2019.

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* 2. Your Contact Information

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* 3. Phone number

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* 4. Best time to call, you will be contacted by the trainer for an interview concerning this training.

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

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* 5. I make a commitment to attend the 2 day training program August 10 - 11, 2019.

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* 6. I also agree that I am committed to lead the NAMI Wisconsin Peer Support Group course at my affiliate, attending and following the format of the training for Peer Support Group.

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* 7. I understand that NAMI Wisconsin will pay for the initial training, training materials and meals. Costs for travel to and from this training, lodging and meals on Friday and Sunday evening are the responsibility of myself or my sponsoring affiliate.

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* 8. I will honor the NAMI Wisconsin Peer Support Group Implementation Requirements, as taught to me during this training.

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* 9. I understand that I will have to openly discuss my journey to recovery and participate in role-play during the training.

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* 10. In addition, I acknowledge that all facilitator materials and handouts are protected by copyright and will not be copied without written permission of NAMI Wisconsin.

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* 11. Do you have any dietary allergies or restrictions or special physical accommodations we should be aware of for this training? Please describe.

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