NAMI Hillsborough Volunteer Application

NAMI HILLSBOROUGH

Volunteer Application Form
NAMI Hillsborough is the Hillsborough County, Florida affiliate of the National Alliance on Mental Illness (NAMI), dedicated to building better lives for all individuals and families affected by mental health and wellness challenges through free, peer-led advocacy, education, support, and public awareness.

We encourage the participation of volunteers who support our
mission and are willing to contribute. The information provided in this form will be kept confidential and will help us determine the
most satisfying and appropriate volunteer opportunity for you.
Volunteer Name*

First NameLast NameSuffix
Date of Birth*

MonthDayYear
Email Address*
example@example.com
Phone Number*
Mailing Address*

Street Address

Street Address Line 2

CityState

Zip Code
Which of the following best describes you? Please select all that apply.*

An individual living with a mental health condition.A family member of an individual living with a mental health condition.A friend of an individual living with a mental health condition.A professional or paraprofessional providing services to individuals living with a mental health condition.A supporter/champion of the NAMI mission.
Please briefly share your personal or family experience(s) with mental illness.*
Would you be comfortable sharing your story/information in a public setting?*

YesNoUnsure
Do you speak any languages other than English? If so, please list all of the languages you speak fluently.*
If none, please enter N/A.

Emergency Contact Information:*

Rows	Contact Information
First Name
Last Name
Phone Number
Email Address
Relationship to Contact

Educational Background
What is your highest level of education?*
Please list any current or previously held certifications.*
If none, please enter N/A.
Occupational Background
What is your current occupation or position/title?*
If not applicable, please enter N/A.
How long have you been employed?*

Less than 3 months3 months to 6 months1 - 2 years3 - 5 years5+ YearsN/A
Please upload your Resume or CV (Optional)

Acceptable File Format(s): PDF, DOC, DOCX
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Volunteer Interests
Which volunteer-based program leader positions are you interested in?*

NAMI Ending the SilenceNAMI In Our Own VoiceNAMI Sharing HopeNAMI Compartiendo EsperanzaNAMI Family & FriendsNAMI Sharing Your Story with Law EnforcementNAMI Smarts for AdvocacyNAMI BasicsNAMI Family-to-FamilyNAMI HomefrontNAMI Peer-to-PeerNAMI ProviderNAMI Connection Recovery Support GroupNAMI Family Support GroupN/A
What volunteer-based board committee(s) are you interested in joining?*

Education Programs/Volunteer Support CommitteeBoard Development CommitteeMarketing/Outreach CommitteeLegislative CommitteeMental Health Advisory GroupFundraising/Events CommitteeNAMIWalks Hillsborough CommitteeYouth Minds Matter Hillsborough CommitteeN/A
What volunteer-based administrative support role(s) are you interested in?*

Answering/Returning EmailsAnswering/Returning Phone CallsBilingual or Interpretive ServicesCommunity Outreach & Event SupportData EntryGrant WritingN/A
Please share your volunteering and/or non-profit experience.*
If none, please enter N/A.
How did you hear about NAMI?*
Are you a member of NAMI/NAMI Hillsborough?*

YesNo
If you are not a member of NAMI/NAMI Hillsborough, do you intend to join?*

YesNoUnsureN/A
Is there anything else you would like us to know about you, your volunteer interests, or skills? If none, please enter N/A.*
Volunteer Signature*

Clear
Should be Empty:

NAMI HILLSBOROUGH

Educational Background

Occupational Background

Volunteer Interests