In Our Own Voice Presentation Request

During In Our Own Voice presentations, two trained volunteers will share their personal experiences of living with a mental health condition and answer questions. This presentation is intended for adults.

Please submit this form at least four weeks before your requested date.

If you are looking for presentations built for middle & high school audiences, please learn more about our Ending the Silence program here.

Contact information

First name

Last name

What is your preferred phone?

WorkMobile

Work - start with area code, NOT 1

Mobile - start with area code, NOT 1

Work email

What is your preferred contact method? (optional)

Phone
Email

Site Information

Name of the organization that will host the presentation

Street Address

City

State

Zip Code

Please enter first 5 digits only

Presentation Request

Please submit this form at least four weeks before your requested date.

Date & time requested for presentation

Please enter day of the week, date & time.

Alternate date & time requested (optional)

Please enter day of the week, date & time.

What length of presentation would you prefer?

60 minutes
90 minutes

Tell us about the audience for the presentation. Who will be in attendance?

How many audience members do you expect?

5-1010-1515-2525-3535-4545+

What are your goals for the presentation?

What format would you like the presentation to be?

In personVirtual using your organization’s Zoom/Teams accountVirtual using NAMI-NYC Zoom/Teams accountOpen to either virtual or in person

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Contact Information