Exhibitor Training Registration Select a training to attend(Required)Select oneThursday, Sept. 10, 6:30–8:30 PMWaitlist for future trainingsName(Required) First Last Pronouns(ex. he/him, she/her, they/them)Email(Required) Enter Email Confirm Email Address(Required)Please note: We respect your privacy and are only asking for this information to send materials. Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone(Required)How do you plan on attending the meeting?(Required) In-person at the NAMI Vermont office I will join over Zoom How did you hear about us?(Required) Newspaper Mailing Healthcare Provider NAMI Vermont Website NAMI National Workplace Word of Mouth Poster Social Media Other Other:If you selected other, please tell us how you heard about us.How do you identify related to Mental Illness? (Check all that apply)(Required) I live with a mental health condition. I help support a family member or close friend who lives with a mental health condition. I am a provider of mental health services. I am a community member wishing to support NAMI Vermont’s mission. Will you need any accommodations to successfully complete this training? If so, please describe them below.Please tell us why you would like to become a NAMI Vermont Exhibitor:(Required)Please describe your personal experience with mental health conditions (your own, your loved one, or both)(Required)I would like to receive the NAMI Vermont monthly e-newsletter. Yes
