Initials: _______ If are you requesting to carpool with another participant? Yes No no, If I live within 30 minutes of the training site, I intend to drive to and from home each day. Yes No If you intend to commute each day, will you be staying for the dinner meals? Yes No Job Requirements: Willingness to undergo training and to adhere to fidelity to the NAMI Connection Recovery Support model. To adhere to fidelity to the NAMI Connection Recovery Support Group model is required. Commitment to perform support groups for a minimum of one year. Ability to provide group participant data as required. Willingness to identify potential new facilitators from their support groups. Positive regard for or personal experience with mutual support. Be or become a member of NAMI. I have read and understand the NAMI Recovery Support Group Facilitator job requirements. ___________ (Initials) I understand that my attendance at Facilitator Training does not guarantee that I will be certified as a NAMI National Recovery Support Group Facilitator. ___________ (Initials) If selected to attend - Attending the NAMI Recovery Support Group Facilitator Training, and receiving certification as a facilitator, I acknowledge that I am making a commitment to facilitating a support group once a week for a one year period. ____________________________ _______________________ ________________ Signature Print Name Date MENTOR AGREEMENT I agree to be at each session of the workshop on time. Please understand that if you are excessively late to sessions or leave more than 30 minutes early on Sunday you may jeopardize your participation in the workshop and a teacher certificate may not be issued to you. not I understand that participation in this training does guarantee that I will become a certified NAMI facilitator. Trainees must demonstrate the qualifications needed to become a good NAMI facilitator by the end of the training. The first day of training provides an opportunity for trainees to assess their basic qualifications for being a facilitator. Any concerns should be brought to the trainers’ attention. Attendance at a training does not guarantee teacher certification.
Initials: _______ If no, are you requesting to carpool with another participant? Yes No If I live within 30 minutes of the training site, I intend to drive to and from home each day. Yes No If you intend to commute each day, will you be staying for the dinner meals? Yes No Job Requirements: Willingness to undergo training and to adhere to fidelity to the NAMI Connection Recovery Support model. To adhere to fidelity to the NAMI Connection Recovery Support Group model is required. Commitment to perform support groups for a minimum of one year. Ability to provide group participant data as required. Willingness to identify potential new facilitators from their support groups. Positive regard for or personal experience with mutual support. Be or become a member of NAMI. I have read and understand the NAMI Recovery Support Group Facilitator job requirements. ___________ (Initials) I understand that my attendance at Facilitator Training does not guarantee that I will be certified as a NAMI National Recovery Support Group Facilitator. ___________ (Initials) If selected to attend - Attending the NAMI Recovery Support Group Facilitator Training, and receiving certification as a facilitator, I acknowledge that I am making a commitment to facilitating a support group once a week for a one year period. ____________________________ _______________________ ________________ Signature Print Name Date MENTOR AGREEMENT I agree to be at each session of the workshop on time. Please understand that if you are excessively late to sessions or leave more than 30 minutes early on Sunday you may jeopardize your participation in the workshop and a teacher certificate may not be issued to you. I understand that participation in this training does not guarantee that I will become a certified NAMI facilitator. Trainees must demonstrate the qualifications needed to become a good NAMI facilitator by the end of the training. The first day of training provides an opportunity for trainees to assess their basic qualifications for being a facilitator. Any concerns should be brought to the trainers’ attention. Attendance at a training does not guarantee teacher certification.
Connection-Facilitator-Application-12.4.17.docx