Membership Application

Please complete both sides and return with your check (payable to NAMI-Greater Monmouth) to

NAMI-Greater Monmouth

POBox 31

Holmdel NJ 07733

Annual dues are $30 per household, If you cannot afford regular dues, you may pay any amount you wish from $3-$30. By becoming a member, you:

·          automatically become a member of our state and national organizations.

·          will receive regular newsletters from both of these groups, as well as NAMI-Greater Monmouth.

·          are invited to our  conferences, conventions, and other important events.

·          Identify yourself with thousands of other NJ residents, and over 220,000 members nationwide, as caring about mental illness and those who suffer with it as patients and family members. 

Our membership and other information is never shared with anyone outside NAMI

Have you taken the NAMI Family-to-Family Course (or its predecessor, The Journey of Hope?)  YES  NO

Would you be interested in taking this course? YES  NO

In what ways would you be interested in helping to support families and consumers dealing with mental illness?

(check all that apply)

___ Being On A Public Committee Or Government Board

___ Taking Facilitator Training To Help Run Support Groups

___ Training Police, Justice, And Corrections Personnel

___ NAMI-Greater Monmouth Board of Trustees

___ Public Speakers Bureau Training

___ Literature Distribution

___ Visiting Public Officials

___ Housing Advocacy

___ NAMI-NJ Family Support Planning Workgroups

___ NAMI-NJ Public Policy And Advocacy Committee

___ Partnering With Families In Crisis

___ Organizing A Public Event

___ Writing For Newsletter   

___ Hospital Monitoring

___ Fundraising Activities 

___ Fair Committee

___ Focused Outreach To The ____________________ aaaaCommunity

___ Other _____________________________