Volunteer Thank you for your interest in becoming a NAMI Marion volunteer. If you are not a NAMI member, please join here before submitting this application. Additionally, please review our volunteer policies and procedures here. Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home Phone*Cell PhoneSelect Your Preferred Method of Communication* Home Phone Text Message Email All of the Above Emergency Contact InformationName* First Last Relationship*Phone*Volunteer InformationAreas of Interest* Public Speaking Community Outreach Newsletter Production PR/Marketing Family Support Group Leader* Peer Support Group Leader* Volunteer Coordination Grant Writing Event Planning/Support Family Education Teacher* Peer Education Teacher Please check all that apply. * requires in-depth NAMI trainingAre you available to participate in additional training?*YesNoDays Availabile* Monday Tuesday Wednesday Thursday Friday Saturday Sunday Please check all that applyTimes Available* Morning Afternoons Evenings Varies Please check all that apply.Do you have any limitations that would require accommodations?*YesNoPlease explain your limitations*Please list any skills, qualifications or talents that you bring to this position*What experience do you have relative to mental illness?*What prompted your interest in serving those living with mental illness?*Additional CommentsLiability DisclaimerBy submitting this application, I confirm that all of the above information is correct. I agree to hold harmless and indemnify NAMI Marion County, Inc.(NAMI) and any other affiliates or subsidiaries from any and all claims, suits, causes of action and liability arising out of any claims, suits or causes of actions of any kind. I realize that NAMI will not be held responsible for any accident or injury that may occur while I am a volunteer. I understand that I will receive no compensation of any kind for services performed. I certify that I am over 18 and in good health, able to participate in the selected volunteer activities, and competent to enter this release. (Volunteers under 18 years of age must have a parent or primary caregiver complete and sign a consent form.) Confidentiality disclaimer I agree and maintain the confidentiality of all company information available to me through my position and uphold a professional relationship with all NAMI staff and participants while I am a NAMI volunteer. Liability Disclaimer Confirmation*Please check the box below to agree to our liability disclaimer. I agree to the above liability disclaimer.