NAMI Wisconsin
Family Support Group Teacher Training
Date: September 14 (Friday) - 15 (Saturday), 2018
Location: NAMI Fox Valley, Appleton

This form must be completed by August 13, 2018.

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* 1. General Information

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

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* 2. I understand that Family Support Group is a NAMI signature program. Our affiliate will refer to this course as "NAMI Family Support Group" in all printed material.

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* 3. I have read and understand the NAMI Signature Program Operating Policies and agree that the affiliate will adhere to the policies. (Among others, these policies state that the affiliate and the teachers will: honor the copyright status and the process for obtaining permission to reproduce handout materials; not charge a fee for the support group; maintain the model of the support group; send only NAMI members to the facilitator training and have only NAMI trained family members serve as faciliators.)

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* 4. I understand that NAMI Wisconsin will cover the costs related to the training, including meals during the training and all training materials. Our affiliate or sponsored participants will be responsible for travel to and from the training, all lodging and Thursday and Saturday evening meals.

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* 5. I agree that it is the responsibility of our affiliate to assist the facilitator in finding a place to provide the support group, arrange for publicity and cover incidental costs. I also agree that all future participation course materials are the financial obligation of the affiliate.

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* 6. I understand that the individual I send has to have the ability to read aloud, speak in front of a group and be effective verbally.

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* 7. I certify all facilitator trainees from our affiliate is a Family Member of someone who identifies as living with a mental illness.

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* 8. I feel confident the facilitotor trainees from our affiliate are far enough along in their coping skills of their own family issues, to lead a support group.  This is important to the individual as well as the potential group.

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* 9. SIGNED: please enter your name as a signature.  Thank you!

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* 10. EMAIL ADDRESS:

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* 11. Please provide a list below of members attending this training that have your affiliates approval.  

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