Thank you for your interest in advocacy with NAMI California! By providing your information below, we will send you any NAMI California Advocacy updates (i.e. newsletters, upcoming events, etc.,). We appreciate your time!

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* 1. What is your first name?

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* 2. What is your last name?

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* 3. What is your e-mail address?

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* 4. What is your phone number?

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* 5. City, State

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* 6. County

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* 7. Age

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* 8. Specify your cultural and/or ethnic background

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* 9. I identify as... (please check all that apply)

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* 10. Please list any other diverse communities you identify with (i.e. LGBTQIA+, Older Adult, Foster Care Youth, Veteran, etc.,)

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* 11. Have you advocated with NAMI California or a NAMI Affiliate before?

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* 12. I'm interested in... (check all that apply)

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