Volunteer Application 2017

NAMI Minnesota (National Alliance on Mental Illness) is a statewide grassroots organization dedicated to improving the lives of children and adults living with mental illnesses and their families through education, support, and advocacy.

As a non-profit grassroots organization, we rely heavily on the support and dedication of volunteers for our programs. Whether you are interested in lending a hand for our special events, facilitating a support group, advocating for mental health issues, providing administrative support, presenting educational programs, and/or sharing your story; we here at NAMI would like to talk with you about joining our team.

Please complete and submit the online application below. If you require a hard copy or need any additional support completing the application, please feel free to contact us at volunteer.resources@namimn.org or 651-645-2948 x110.

Thank you for your interest in volunteering with us!

Name *

First Name Last Name

Email *

Mailing Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Preferred Phone Number *

Area Code Phone Number

Preferred Phone Type

Please note that the vast majority of NAMI's volunteer opportunities are in peer-peer programming roles. As such, your connection to mental illness is an important distinction which will help us determine which volunteer positions you may be eligible for. Information provided will be kept confidential.

Do you personally live with a mental illness? *

Do you have a family member that lives with a mental illness? *

Birth Date

Month Day Year

Please check ALL programming you have attended.

Public Awareness Presentation(s) Hope for Recovery Class NAMI Support Group(s) Family to Family Class Affiliate Programs

Please indicate your volunteer interests: *

Please tell us a bit about why you wish to volunteer with NAMI Minnesota and any experience that is relevant to the position for which you are applying. *

Have you attended a NAMI Support Group? *

What NAMI Support Group Model(s) would you be peer-qualified for and interested in facilitating? *

	1st Choice	2nd Choice	Interested	Not Interested	Not Applicable/Peer Qualified
NAMI Connections
Young Adult Connections
GLBTQAI Connections
Dual Diagnosis
Dual Diagnosis - Smoking Cessation
VET Connections
Parent Connection
Open Door
Online
Family Groups
Partners/Spouses
Parent Resource
Daughters/Sons

Are you able and willing to consistently provide ~3 hours of service weekly for a minimum of one year? *

What do you see your role being at the local level?

Please check the reception shifts that fit your availability. *

	9-11 AM	11 AM - 1 PM	1-3 PM	3-5 PM
Monday
Tuesday
Wednesday
Thursday
Friday

Do you currently subscribe to the Legislative Update E-Newsletter? *

Please describe your familiarity with the legislative process and any experience you may have engaging in lobbying or grassroots organizing activities...

I'm willing to...

Testify at the Legislature Research Statutes/Legislation Write Op-Eds/Letters to Representatives Help with Mailings Attend Committee Meetings

What NAMI Class(es) would you be peer-qualified for and interested in Teaching? *

	Interested	Not Interested	Not Applicable/Peer Qualified
Hope for Recovery
Family to Family
Progression
MHFA/YMHFA

What would make you a good outreach representative for NAMI? *

Are you willing to strictly follow NAMI's presentation models? *

Please check the time-frames you would be available to present on NAMI's behalf. *

	Morning	Lunch-Hour	Afternoon	Evening
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

Please briefly share a bit of your personal story and what recovery means to you - or submit it below.

Personal Story/Recovery Statement Submission

I'm interested in... *

Please rank your experience and/or proficiency with the following skill sets. *

	None/NA	Somewhat Proficient	Standard/Average	Highly Skilled
General Computer Skills
Handwriting
Data Entry (Excell/Acess)
Oral Communication/Telephone Skills
Internet Research
Graphic Design
Clerical (Filing, Mailing, etc.)
Salesforce
E-Tapestry
Constant Contact

I'm interested in serving on the following Committees...

	Interested	Not Interested	Not Applicable/Peer Qualified
Multicultural Young Adult
Smoking Cessation
Volunteer Resources
Legislative
African American
Older Adult
Wellness

Please briefly describe what you hope to gain by serving on the above committee(s), as well as what you hope to contribute.

Is there a specific community/population you would like to serve or represent?

Are you currently a member of NAMI?

Yes No

Are you fluent in a language other than English?

In order to help NAMI be more inclusive of all communities and all people, we appreciate you answering the following demographic questions:

How do you identify yourself?

African American or Black Alaska Native or American Indian Asian Caucasian or White Hispanic or Latino Native Hawaiian or Pacific Islander Other (Please Specify)

Do you identify as LGBTQ?

If you are interested in an internship or serving on an advisory committee with NAMI Minnesota, please be sure to upload a cover letter and resume below.

Cover Letter/Resume

Upload File(s)

Additional Documents

I certify that all information provided is accurate. I understand that misrepresentation or providing false information is sufficient cause for rejection or dismissal.

Volunteer Application - NAMI Minnesota

Contact Information

Qualifications

Volunteer Interests

Supplementary Information