NAMI IL's Mental Health Unplugged Workgroup Registration

Mental Health Unplugged* is a NAMI Illinois workgroup that virtually meets each month to discuss mental health related topics focused on anti-stigma, advocacy, and building a community of support.

Please fill out this form if you would like to become a member of our community and join us for candid conversations, volunteer opportunities, and pillar meetings!

To join our community, you MUST be between the ages of 17-27, an Illinois resident, and have an interest in mental health.

*Previously known as Mental Health Unmuted.

Contact Information

Name *

First Name

Last Name

Pronouns

What is your age? *

Phone *

Email *

Verify Email *

Address *

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

What is the best way to contact you? *

Phone - Text

Other

Other form of contact *

Workgroup Registration

Are you already involved with NAMI Illinois, a local NAMI affiliate, a youth organization, or a structured program? *

Please note: You do not need to be affiliated with NAMI, a youth organization, or a structured program to be part of the workgroup.

Yes

What NAMI affiliate, youth organization, or structured program are you already involved with?

Would you like to be connected to your local affiliate, if you are not already? *

We will use your address listed above to connect you to your closest local affiliate. Also note: You do not need to be affiliated with NAMI, a youth organization, or a structured program to be part of the workgroup.

Yes

N/A

Do you want to be a member of the workgroup? *

If yes, we will send out meeting invites and put you on our workgroup distribution list. Please note: A program agreement will need to be signed (including guardian signature, if applicable) and submitted before you attend your first workgroup meeting. You will be emailed the program agreement after submitting registration for the workgroup.

Yes

How did you find out about the workgroup?

What are you looking forward to the most with the workgroup?

What are things you would like to see come from the workgroup?

Do you have any suggestions that can help shape the workgroup's efforts?