Request a Presentation Presentation Request Form Please submit requests at least 8 weeks in advance. We are unable to accommodate any requests less than 8 weeks in advance. We are not able to modify presentations, due to requirements for certification, restrictions on time and resources, or without risking the integrity of the presentation. Please take note of the time listed when requesting a presentation. Do not hesitate to contact us at email@example.com with any questions you want to discuss. Hint: Scroll through the entire page to make sure you have gathered the information you need prior to filling out the form.Which presentation are you requesting?In Our Own Voice (60-90 minutes; for any audience)Creating Caring Communities in Minnesota: Five Things You Can Do (45-60 minutes; for any audience)Together We Can Make It Okay (45-60 minutes; for any audience)Faith Communities and People with Mental Illnesses (60 minutes; for faith-based communities)Children's Challenging Behaviors* (6 hours; for parents and families)Mental Health Crisis Planning (2 hours; for parents and families)Special Education Workshop (2 hours; for parents and families)Understanding Early Episode Psychosis (1.5-2 hours; for parents and families)Progression (6 weeks; for high school students with a diagnosis or symptoms)Recognizing Early Warning Signs of Mental Illness in Children and Adolescents (2-2.5 hours; for educators)Mental Health 101 for African American Communities (1.5-2 hours)Means Restriction Education (60 minutes; for providers)safeTALK* (3 hours; for any audience)Question, Persuade, Refer - QPR (60 minutes; for any audience)Connect Postvention* (4 hours; for professionals)Gray Matters: Understanding Mental Illness in Older Adults- multiple classes (1-2.5 hours, depending on class; for professionals working with older adults)Good Mental Health in the Workplace: Five Things You Can Do (60 minutes; for business leaders)Mental Health First Aid* (9 hours; for any audience over 18)Youth Mental Health First Aid* (9 hours; for educators, youth caregivers, and families)Public Safety Mental Health First Aid* (9 hours; for law enforcement and first responders)Hope for Recovery* (6 hours; for people living with a mental illness and their families)Smoking Cessation (1 hour; individual workshop)Smoking Cessation for Providers (1 hour; for healthcare professionals)Applied Suicide Intervention Skills Training - ASIST* (2 days; for any audience)Get to Know NAMI (1 hour; for any audience)Ending the Silence (50 minutes; for spring semester 8th graders and high school students)Wellness Series (multiple classes; 1 hour each)NAMI Minnesota requests a $200 honorarium for many presentations with the understanding that not all organizations are able to provide this much, if anything. Certain classes do require a separate fee, and are denoted with *. Costs will be discussed during the scheduling process.What amount of honorarium will you be able to provide?*Unable to provide any honorariumNot sure if able to provide an honorariumWill provide an honorarium, unsure of amountWill provide the full $200 honorariumN/A due to request class having a separate course feeWe require at least 8 weeks notice when scheduling presentations. If you request a presentation less than 8 weeks out, we will be unable to accommodate your request.Date* Time* : HH MM AM PM Confirm Day of Week*SundayMondayTuesdayWednesdayThursdayFridaySaturdayAre you requesting more than one presentation at the same location?*NoYes (Enter additional dates/times below)Additional dates/times requestedTime length available for presentation*Organization name*Organization's website or brief description of organizations work*Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Minnesota County (presentation location)*Will the presentation be held at the organization address?*YesNo (Enter presentation address below)Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Contact Person* First Last Phone (primary)*Phone (other)Email* Are there any parking instructions or building information (room number for example) or other information that would help the presenters find the presentation location?*Is the presentation location wheelchair accessible?*NoYesIntended audience*Estimated size of audience*What A/V equipment do you have available?* DVD player TV (for DVD) Computer (for PowerPoint or DVD) Projector with Screen Microphone Other Will this presentation to be open to the public? Note: Public presentations may be posted on our website, within newsletters, or other forms of promotion.*YesNoMaybe, not sure yet.Will you require any of the following marketing options?* Flyer Eventbrite Registration Page None Other Please specifyDo you have additional comments or considerations for this presentation request?