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| |
NAMI Illinois Stat Form
Affiliate Name
Reporting Period
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|
1st Qtr. |
2nd Qtr. |
3rd Qtr. |
4th Qtr. |
Total |
| Support
Group Meetings |
# Held |
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# Attendees |
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| Educational
Meetings |
# Held |
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# Attendees |
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| Community
Meetings- |
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| Specify
Group |
# Attended |
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| Network
Meetings- |
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| Specify
Network |
# Attended |
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| Speaking
Engagements |
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| Specify |
# Engagements |
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# Attended |
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| Workshops,
Booths, Etc. |
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| Specify |
# Workshops, Etc. |
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# Attended |
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| Information
and Referral |
# Requests
Received |
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| Newsletter |
# Distributed |
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| Drop-In
Center |
# Consumers |
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| Housing
Projects |
# Consumers |
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| NAMI
Brochures |
# Distributed |
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| Family
to Family |
# Classes Held |
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# Attending |
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| Peer to
Peer |
# Classes Held |
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# Attending |
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| Visions
for Tomorrow |
# Classes Held |
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# Attended |
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Please list below any other activities for this
quarter that your affiliate has been involved in. List hours
spent, number of members participating, and the number of non-members
present. For assistance call NAMI Illinois (217)522-1403.
All reports should be submitted to NAMI Illinois, the 15th day of the
following month after the quarter ends. Quarters
are: July through September; October through December;
January through March; and April through June.
|
NAMI
Illinois
218
West Lawrence
Springfield,
Illinois 62704
Phone:
217-522-1403 Voice/TTY
|
Illinois'
Voice on Mental Illness - NAMI Illinois