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I Want To Be a Mentor

First Name*

Last Name*

Telephone Number*

eMail Address*

Preferred Communication*

Telephone

Please share a brief statement about your personal recovery and life experience.*

Why do you want to be a mentor?*

Did you have a mentor?*

Yes

How did having a mentor prepare and assist your with your recovery?

Have you completed the Rx 4 Wholeness Training?*

Yes

Date you completed Rx 4 Wholeness Training

Need Immediate Help?

988 Suicide & Crisis Lifeline

Dial or text 988
Dial or text 988 if you or someone you know is having thoughts of suicide or experiencing a mental health crisis and get connected to a trained crisis counselor 24 hours a day, 7 days a week.

Crisis Text Line
Text HOME to 741741 from anywhere in the United States, anytime. Crisis Text Line is here for any crisis. A live, trained Crisis Counselor receives the text and will respond, all from our secure online platform. Free 24/7 Crisis Counseling

Caregiver Help Desk
Contact Caregiver Action Network's Care Support Team by dialing 855-227-3640. Staffed by caregiving experts, the Help Desk helps you find the right information you need to help you navigate your complex caregiving challenges. Caregiving experts are available 8:00 AM – 7:00 PM ET.

National Suicide Prevention Lifeline

https://suicidepreventionlifeline.org

We can all help prevent suicide. The Lifeline provides 24/7, free and confidential support for people in distress, prevention and crisis resources for you or your loved ones, and best practices for professionals. Please call 1-800-273-TALK (24-hour hotline) 1-800-273-8255.

National Alliance on Mental Illness

https://nami.org

NAMI is the nation's largest grassroots organization for people living with a mental illness or someone who lives with someone who does.

Mental Health America (MHA)

https://mhanational.org