Training Recommendation Form
Once we receive the following information you will receive an email from Emily and NAMI Nevada State to schedule a screening interview. Thank you for your interest in trainings!
Full Name
*
First Name
Last Name
Contact Number to Reach You
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Phone Number
Email
*
Upcoming trainings you would like to attend (if a flyer is not listed above, we will add you to the waitlist for that program)
*
Family Support Group Facilitator
Connection Support Group Facilitator
Family to Family Facilitator
Basics Facilitator
Please include any additional information that you want us to know:
Would you like to receive more information from NAMI?
Yes
No
After submitting this form, you will be redirected to complete the Program Leader Rights and Responsibilities form. This form must be completed to participate in the training. Thank you!
Submit
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