(478) 328-0508
DONATE
NAMI Helpline 800-950-NAMI (6264)
988 Crisis Line
Veteran's Crisis Line
National Suicide Prevention Line
Suicide Prevention - Georgia Crisis & Access Line
Home
About Us
Our Team
Housing
Group Home
Apartment-Duplex
Volunteer
Support Group
Applications
Internship Form
Volunteer Form
Community Service Form
Jobs
Menu
Home
About Us
Our Team
Housing
Group Home
Apartment-Duplex
Volunteer
Support Group
Applications
Internship Form
Volunteer Form
Community Service Form
Jobs
CLIENT PORTAL
EMPLOYEE PORTAL
Volunteer Form
Your Information
Name
(Required)
First
Middle initial
Last
Date of Birth
(Required)
MM slash DD slash YYYY
Address
(Required)
Street Address
City
State / Province / Region
ZIP / Postal Code
Primary Phone
(Required)
Alternate Phone
Email
(Required)
Emergency Contact Information
Please enter emergency contact(s) below
Name
Phone
Add
Remove
Additional rows can be added using the plus icon
Questionnaire
Have you been charged with any misdemeanors and/or felonies?
(Required)
No
Yes
If yes, please explain
(Required)
How Did you hear about NAMICG?
Areas of interest:
(Required)
Clerical
Technical Support
Board Member
Fundraising
Volunteer recruitment
Event coordinator
Other
Check all that apply.
Other interest:
Availability
Please list the hours that you are available. Use N/A to indicate the day(s) that you will not be available.
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Education
Please enter your education below
Name
City, State
Degree / Program of Study
Degree or Certification Obtained
Add
Remove
Additional rows can be added using the plus icon
Work Experience
Please enter your work experience below
Organization
City, State
Position or Event
Start Date / End Date
Add
Remove
Additional rows can be added using the plus icon
Other Relevant Skills
Include any technical skills, professional licenses, certificates, other languages spoken or signed
References
Please enter your references below
Name
Phone Number
Relationship
Add
Remove
Additional rows can be added using the plus icon
Sign and Date
Consent
(Required)
I understand and agree to the following statement:
I certify that all statements made in this application are accurate and acknowledge that electronic signatures are the legal equivalent of my manual/handwritten signature.
Signature
(Required)
Today's Date
(Required)
MM slash DD slash YYYY
