Volunteer Application
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Name (first and last) *
Street Address *
City, State, Zip *
Phone *
Email *
Occupation *
DOB (mm/dd/yyy) *
What has been your personal and/or professional involvement with mental illness? *
Have you ever been convicted of a felony? *
If yes, please explain
Please check the volunteer opportunities that you are interested in *
Povinné
List previous volunteer/work/school experience that may complement our efforts/goals *
List two references who can speak to your conduct and professional behavior *
Why are you interested in volunteering with NAMI? *
What expectations do you have for this volunteer experience? *
Language other than english? *
Volunteer availability (choose all applicable) *
Povinné
Length *
Special Considerations?
Transportation *
Povinné
In an emergency, notify: *
Volunteers are an integral part of NAMI and their efforts are valued and appreciated as equal to those of paid staff.  NAMI agrees to provide you with the knowledge and support to make your volunteer experience a success.  In return, we ask that you are sincere in your commitment to helping others, and will conduct yourself and your actions in a professional manner when you represent our organization.  By signing below, you indicate that you have read, understand, and agree to this commitment.  (Type full name and date) *
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