Become a Peer Mentor

The NAN Project is always welcoming young people who have experienced the effects of depression or suicidality and would like to share their story to help others. Please fill in all the information below:

Name(Required)

First Name Last Name

Pronouns

Age

Email Address(Required)

Enter Email Confirm Email

Phone Number(Required)

Address

Street Address Street Address City State ZIP

Are you a student and/or employed? If so, where?

What languages do you speak?

Why do you want to become a Peer Mentor? In what ways can you contribute to the growth, development and improvement of The Nan Project?(Required)

Have you or anyone you know struggled with mental health challenges? Please explain.

What does recovery mean to you? (The NAN Project's Peer Mentors use their stories of recovery to educate and convey hope to students around overcoming mental health challenges.)

What supports and/or resources play an important role in supporting your recovery? How do you remain invested in your recovery today? (ex. 12 step meetings, groups, therapy, etc.) Please list all that apply.

What is your work or volunteer history? What are your other hobbies?

Do you have access to transportation?(Required)

I have a car

I have access to public transportation

I have a reliable ride

Not at this time

Would you be willing to participate in Peer Mentor training?(Required)

Yes

If accepted, which training would you like to participate in? (Location or start date)

How did you hear about The NAN Project?(Required)