Continuing Carol Williamson's Vision

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Thank you for considering joining the NAMI Santa Cruz team in honor of Carol Williamson. We are continuing to work towards her goals of mental health advocacy, resources, and community!

Email *

First and last name *

Best phone number to reach you

I identify as (check as many as apply) *

Peer/consumer (individual with mental health conditions)

Family member/friend (loved one of individual with mental health conditions)

Provider/mental health professional (professional providing direct mental health services such as psychiatry, case management, therapy, etc.)

Educator/school staff (professional within the school system, working with youth and families)

Other:

Required

How familiar are you with NAMI programs? *

I have never attended a NAMI program

I have attended at least one NAMI program

I have attended a few NAMI programs

I have attended many NAMI programs

I am currently a volunteer, or have volunteered in the past with NAMI

Other:

Which volunteer opportunities are you interested in? *

Leading NAMI programs (classes, support groups, and presentations)

Short-term administrative support (outreach, organization, data entry, mailings, etc.)

Advocacy (mental health parity, increase in services, law and legislation, quality of services, etc.)

Not sure yet

Other:

Required

If you are interested in advocacy, please rate your areas of interest on a scale of 1 (most interested) to 5 (least interested)

Increase quality, accessibility, and utilization of mental health services

Improve the lives of individuals with mental health conditions

Diversion from criminal justice system

Improve youth mental health

Increase diversity and cultural competency across mental health services

Any other comments? Specific NAMI programs or actions you'd like to support?

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of NAMI Santa Cruz County. Report Abuse

Forms