Community Training Request Form
Please allow at least a 60 days notice before your presentation. This allows NAMI DuPage time to tailor our presentations to your group’s needs, so they receive the information and education that will be most beneficial to your group. Presenters from our Speaker’s Bureau present their personal recovery stories living with mental illness, or being a friend or family of someone with a mental illness.

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Presentation Contact (First & Last) *
Organization *
Contact Title/Relationship to Organization *
Phone Number *
Email *
Organization's Address, City, State and Zip Code *
Location *
Parking Instructions (If needed)
Type of Presentation Interested in: *
Date(s) & Time(s) Requesting for Presentation: *
Would you like for the training to be: (choose one) *
Purpose of Training *
Main Mental Health Condition(s) would you like NAMI DuPage to speak on *
Required
Who will be attending? *
How many people do you anticipate would attend? *
How long of a Presentation? *
How many speakers? *
I understand that if this request is fewer than 60 days NAMI DuPage not be able to accommodate the request. *
Any additional Comments or Questions:
Submit
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