Please complete this application form if you are interested in becoming a National Alliance on Mental Illness San Diego volunteer. Once you complete the form, click the submit button at the bottom.

If you have questions, please contact the Volunteer Engagement

email volunteers@namisd.org.

Name and Address

We like to keep volunteers informed of important news, schedules, and volunteer opportunities by email.If you do not have an email address, please list your email as; noemail@namisd.org.

***Please include your LEGAL name only.

First name:

Last name:

Title:

Street 1:

Street 2:

Street 3:

City:

State:

* Zip: *

Home phone:

Work phone:

Cell phone:

Email address:

Demographic Information

You may optionally provide the following information. It is used only to help us get a better idea of the demographic make-up of our volunteers.

Date of birth:

(year optional)

Age range:

Gender:

Education:

Ethnicity:

High school:

College:

Specialized Skills

f you have any specialized skills, including languages, that you would like to utilize in your volunteer role with NAMI San Diego.

Availability

Please indicate the days and times you are usually available to volunteer.

Service Hour Requirements

Please complete if you require supervised volunteer hours for school, work, or if court ordered.

Service Type:

Court Ordered

Program Credit

School Credit

Please include: -Program -Required Hours -Completion Date -Contact Information

Program Options

Please indicate below the volunteer opportunity that interests you. To view position requirements and descriptions, click on each title.

* Volunteer Opportunity:

Career Pathways 2.0 Mentor [Volunteer Services]

Helpline (HL) [Volunteer Services]

If more than one position interests you, please list others:

Reference

List 2 people who can comment on your character and work habits, including telephone numbers, and email address. (PLEASE DO NOT INCLUDE RELATIVES.)

1

2

First name:

Last name:

Nickname:

Street 1:

City:

State:

Zip:

Home phone:

Work phone:

Cell phone:

Email address:

Emergency Contact

First name:

Last name:

Home phone:

Work phone:

Cell phone:

Email address:

Relationship:

Question 1

How did you first hear about volunteer opportunities with NAMI San Diego?

Question 2

Is there an aspect of our mission that motivates you to want to volunteer?

Question 3

What are your personal goals for your volunteer experience with our organization?

Terms and Agreements - Please read carefully

By submitting this application, I give my permission to check the references I have listed. I certify that the facts set forth in this application are true to the best of my knowledge. I understand that falsification, misrepresentation, or concealment of information on this application may be sufficient grounds for disqualification from further consideration for volunteering or immediate discharge and NAMI San Diego shall not be liable in any respect if my volunteership is so denied or terminated. Furthermore, I realize that volunteer assignments are made on the needs of NAMI San Diego in conjunction with my interests and skills. I further understand that my request to volunteer is made without expectation of any type of payment for services performed as a volunteer.

I Agree