NAMI West Central Indiana · Volunteer Registration

Contact Information

Name

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First Name

Last Name

Email

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Verify Email

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Address

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Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Phone

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Phone Type

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Please enter the sex/gender identity you identify with.

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No tricks, the box is open. Tell us about yourself!

Desired pronouns

Select your chosen pronouns.

Emergency Contact Information

Emergency Contact Name

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Emergency Contact Relationship

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Emergency Contact Phone

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How did you hear about NAMI-WCI?

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Choose desired volunteer opportunity

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Volunteer Opportunities offered through NAMI-WCI

Contact Procedures - Enter your preferred method of contact in the box below.

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Once your application is received, a member of the NAMI team will contact you directly.

Additional Information

How did you hear about NAMI-WCI?

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Why are you interested in volunteering?

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Do you have previous volunteer experience?

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Please enter your previous volunteer history.

What skills can you contribute to NAMI-WCI?

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Everyone has a super power! What is yours?

Have you ever been convicted of a crime against another person including but not limited to: assault of any kind, harassment of any kind, or stalking?

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No

Yes

If yes, please explain.

Evidence of a criminal history will not automatically preclude a person from volunteering.

Are you currently working? If so, where?

This is for the purposes of employer match/volunteer program

What skills are you interested in utilizing during your volunteer experiences?

We will provide training!

Sharing your skills!

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Which type of volunteer opportunities are you interested in? Check all that apply.

Event Planning

Fundraising

Tabling

Presenting to small groups

Presenting to large groups

Communicating with other organizations

Leading an activity at The Landing

Leading a support group

What, if any, other organizations are you involved with?

How long do you plan to volunteer for NAMI-WCI?

At least 6 months or more

Less than 6 months

Intermittent (occasional) volunteering

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