NAMI GH Leader Training Interest Form

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Hello! Thank you for your interest in training to become a leader at NAMI Greater Houston. Please complete the Leader Training Interest form below. Once you submit the interest form we will respond to you within 24-48 hours. If you do not hear from us within this timeframe, please email our Program Officer, Cindy Ha at cha@namigreaterhouston.org

ABOUT :
NAMI Greater Houston (NAMI GH) is the local affiliate of the largest grassroots mental health organization dedicated to improving the lives of persons living with serious mental illness and their families in the Houston area since 1988. NAMI has become the nation’s voice on mental illness, a nationwide organization. We provide direct services in the areas of education, support and advocacy for families and individuals impacted by mental illness. Our programming executes our mission which is dedicated to the eradication of mental illnesses and to the improvement of the quality of life of all who are affected by these diseases.

Email *

First Name *

Last Name *

Phone Number *

Is the Phone Number provided : (select the following) *

Cell Phone

Traditional Landline

What is your preferred method of contact? *

Phone

Text

Other:

Required

We are thrilled that you want to be a leader (education teacher and/or support group facilitator) with NAMI GH! We would love to know why you want to become a trained leader with us? *

Please tell us a little bit about yourself *

Do you have a connection with mental illness? Please select all that apply.

I am an individual living with a mental illness/mental health challenge (diagnosed/undiagnosed)

I am a parent to a child/children living with a mental illness/mental health challenge (diagnosed/undiagnosed)

I am a parent to an adult-child/children living with a mental illness/mental health challenge (diagnosed/undiagnosed)

I am a family member to a loved one living with a mental illness/mental health challenge (diagnosed/undiagnosed)

I am a friend/co-worker/etc. to a loved one living with a mental illness/mental health challenge (diagnosed/undiagnosed)

I am an ally

Other:

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