Welcome to the Out of the Abyss Suicide Support Group Facilitator Application

Hello!
Welcome to the Out of the Abyss Group Facilitator Application.

Before you begin the application, here's some important information you should know:
This facilitator application is only intended for people with lived experience of suicide attempts or suicidal distress, who want to facilitate Out of the Abyss suicide support groups. Facilitators need to be willing to openly identify as such in the groups.
Submitting your application does not guarantee you a spot for the training. A member of the NAMI Connecticut team will contact you confirm your spot prior to the training.
If you have any questions, please contact Grace: ggrinnell@namict.org.

Thank you!

Kindly,
Valerie Lepoutre
Director of Peer Initiatives, Education & Training

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* 1. Please include your contact information

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* 2. You must be willing to use your lived experience in your role as an Out of the Abyss Group Leader.
Are you willing to meet this requirement?

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* 3. We require new facilitators to start up a new and/or facilitate existing
groups for a minimum of one year.
Are you able to meet this requirement?

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* 4. Do you have an active NAMI Membership? (If no, you will need to join prior to taking this training).

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* 5. What is the best time to contact you?

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* 6. What is the best ways to contact you?

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* 7. Have you ever attended an Out of the Abyss support group or another peer-run support group?

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* 8. What inspires you to become an Out of the Abyss Suicide Support Group Facilitator?

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* 9. Please list any other group facilitator training and/or peer support training that you’ve taken. If you have no facilitation experience, what is your action plan to help build facilitation skills beyond this training?

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* 10. Do you have your own transportation?

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* 11. Which town are you available to lead a group? (Please select all that apply).
**NAMI Connecticut is focusing on key towns/cities to set up in-person Out of the Abyss Groups. If none of the towns listed are close in proximity to you, please include the name of the town you wish to lead a group in.**

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* 12. What venue are you considering to hold a group? (Please include specific addresses of venue); do you already have a contact for that space?

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* 13. Please check all days you are available to co-facilitate a weekly or biweekly group. (Groups typically run 1-2 hours)

  Times
Monday
Tuesday
Wednesday
Thursday
Friday

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* 14. Please note, we require a personal reference.

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* 15. Our facilitators receive routine check-ins with the NAMI Connecticut Staff and are invited to attend networking meetings. You also might be required to take additional/updated training and/or online learning to support the group. Are you willing to meet this requirement?

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* 16. Briefly describe the supports and barriers that will be present for you in starting the group.

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* 17. What skills or abilities make you a good candidate for the role of an Out of the Abyss Group facilitator?

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* 18. Please note: This application does not guarantee a spot in our facilitator training. A member of the NAMI Connecticut Staff will contact you with more information.
(Please Type your Full Name) 

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