Volunteer Application

Name*

First Middle Last

Date of Birth*

Email*

Address*

Street Address Address Line 2 City State ZIP Code

Phone*

How did you hear about NAMI St. Louis?*

Please select an option below:

Are you a member?*

Yes
No

Your Qualifications & Experience

Please note that the vast majority of NAMI St. Louis' volunteer opportunities are in programming roles. As such, your connection to mental illness is an important distinction which will help us determine which volunteer positions you may be eligible for. Information provided will be kept confidential.

Why are you interested in volunteering at NAMI St. Louis?*

Do you personally live with or do you have a family member that lives with a mental illness?

Please select an answer below

Yes
No
Prefer not to answer

Do you personally live with or do you have a family member that lives with a mental illness?*

Please select an option below:

Previous Volunteer Experience*

Skills/Interest that would be relevant to the volunteer experience?*

What volunteer tasks interest you?*

Please select all that apply by holding down the ctrl button and clicking on your choices.

What days/times are you available?*

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What days/time are you available?*

Would you be willing to be called on short notice to volunteer*

Yes
No

Reference Name*

First Last

Reference Phone Number*

Demographic Questions

In order to help NAMI be more inclusive of all communities and all people, we appreciate you answering these demographic questions.

How do you identify?*

Please select an option below:

Preferred Pronouns*

Please select an option below:

She/Her
Him/His
They/Them
Ze/Zir

Ethnicity*

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Consent*

I have read and agree to the following volunteer policy.

I expect to be informed of in-service training opportunities. I expect to be informed of job descriptions and supervisors for specific volunteer tasks. I hold harmless from liability NAMI St. Louis and its staff for any injury which might occur during volunteer activities. I give consent for background checks as deemed necessary for volunteer activities. I understand that I may seek assistance from the Outreach Specialist if problems arise in the performance of my volunteer duties which I cannot resolve with the staff.

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Full Name:*

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Volunteer Application