NAMI Family Support Group Facilitator Application:   Escambia, Santa Rosa, Okaloosa, Walton, Bay, Leon and surrounding Counties ONLY!
NAMI Family Support Group is a peer-led support group for any adult with a loved one who has experienced symptoms of a mental health condition. Share insight from the challenges and successes you have experienced with others facing similar experiences that need our support!
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We are currently looking for individuals in the Northwest Florida areas from Pensacola through Tallahassee!
Application for NAMI Family Support Group to be completed by the applicant. 

NAMI’s support groups are unique because they follow a structured model, ensuring everyone has an opportunity to be heard and to get what they need.

To be a NAMI Family Support Group facilitator: 

*one must have a loved one with a mental health condition
*attended 3 or more Family Support Groups
*successfully complete 16 hours of training and receive a facilitator certification. Weekend Zoom Training Available Sat & Sun 9:00 - 5:00 PM. Dates TBD.

If you are interested in becoming a NAMI Family Support Group facilitator and you meet the above criteria, please proceed to the next page to begin your application.
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To protect our online meeting trainees, we ask all participants to provide us with an emergency contact person that we could contact ONLY in the event of an emergency. This information is kept completely confidential - it will never be sold or shared. 
Emergency Contact 
Name, Relationship, Email and Phone Number
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All NAMI Program Leaders must be current members. Are you a member of NAMI?
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If yes, which affiliate ?
Your answer

Have you participated in 3 or more NAMI Support Group?
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If no, are you able to attend at least 3 support groups either 2nd or 4th Tuesday night of the month on Zoom?
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I prefer to facilitate: *
I am available to facilitate: *
Do you have a family member or loved one with a mental health condition?
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Do you have a mental health condition?
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Why do you want to become a NAMI Facilitator? 
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What does recovery mean to you?
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What are your views on mental health treatment (medication, traditional, non-traditional)?
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I understand that all NAMI programs are copyrighted. I will adhere to the Program Operating Policies and Conduct of Conduct, and I will present according to these policies at all times.  


I understand that my attendance at the NAMI Family Support Group Facilitator Training does not guarantee that I will be certified as a Family Support Group Facilitator. If I receive facilitator certification, I understand/agree to serve as a leader in twelve support group meetings during a two-year commitment, or close to these time limits. The time, energy and expense of training each facilitator make this a necessity. It is understood, of course, that unexpected situations may occur that will necessitate compassion and flexibility in this policy. 

I agree to only use approved NAMI Family Support Group materials that are provided in my Leader Manual. I also agree to send all reports to the local NAMI Affiliate Program Coordinator and to the NAMI State Program Director.

Please indicate by typing your name and date.
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