Volunteer Sign-up Questionnaire – NAMI Dane County Portal

Home
Support Group Sign-up
Volunteer Sign-up

Home
Support Group Sign-up
Volunteer Sign-up

Volunteer Sign-Up Form

Complete this form to submit your interest in volunteering for NAMI Dane County. Following submission of this form a staff member will contact you.

First Name

Last Name

Email Address

Address

City

State

Zip Code

County

Other County

Phone

Your primary contact number

Age

Do you personally live with a mental illness?

Do you personally live with a mental illness? Yes No

Do you have a family member who lives with a mental illness?

Do you have a family member who lives with a mental illness? Yes No

Please check all NAMI Dane County programming you have participated in:

Please check all NAMI Dane County programming you have participated in: I have not participated in any programming offered by NAMI Dane County

NAMI support groups Adult Young Adult LGBTQIA+ Women Family

NAMI education classes Family to Family Peer to Peer Hearts+Minds NAMI Basics NAMI Smarts

Please indicate your volunteer interests:

Please indicate your volunteer interests: Fundraising volunteer NAMIWalks and other event volunteer Advocacy Committee Teaching an education class Facilitating a support group Sharing your story at CIT/CIP

other:

Select all that apply

Availability - Fill out your availability in this format: Day, Times

Please tell us a bit about why you want to volunteer with NAMI Dane County.

Are you currently a member of NAMI Dane County?

Are you currently a member of NAMI Dane County? Yes No

Are you fluent in a language other than English?

Are you fluent in a language other than English? Yes (if so, please list) No

Please list other languages you are fluent in.

What are your preferred pronouns?

What are your preferred pronouns? She/Her He/Him They/Them

Scroll to Top