Application for Core or Associate Membership

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Application for Core or Associate Membership Description of two kinds of membership. (See other membership criteria in CAMHPRO Definitions below.) Core Members are incorporated, independent non-profit organizations that have a board of directors that is at least 51 % mental health peers/consumers, employs a Director/Chief Officer that identifies as a mental health peer/consumer, and employs most staff members who identify as mental health peers/consumers. Associate Members are consumer-operated programs that are not incorporated, independent nonprofit and may be under the umbrella of an incorporated, independent non-profit, and who meet two of three of the requirements for Core Members. Organization Name Annual dues for CAMHPRO membership are based on member budget. We welcome your participation We are building our statewide voice and our power Address City State Zip Director E-mail Phone Fax Web Site

Organizational/Group Information. Organizational/Group structure: not-for-profit corporation unincorporated organization/program % people in leadership positions who are consumer/survivors (Director, etc) Is the Director a consumer/survivor? Yes No % Board of Directors who are consumer/survivors % staff who are mental health consumer/survivors The agency s Board of Directors or governing entity of your organizational must agree in writing to membership in the CAMHPRO and support its Mission Statement, Statement of Purpose, Please include a letter showing the support of your board or governing entity of your organization Month/Year founded: Amount of annual operating budget: Organizational Mission/Purpose Statement (may attach information) Organization Activities/Programs (may attach information)

Organizations/Groups that meet the following requirements may request membership: (please check to indicate you qualify) a. Run by consumer/survivors. See definitions below of consumer run and Core Member and Associate Member Organizations. b. Agreement with the values in the CAMHPRO s Mission Statement, Statement of Purpose. Membership also means that member organizations will advocate that the voice of consumer/survivors be central to decision making at all levels. Members also agree to be in regular communication with their networks and to ensure that they are inclusive and representative. c. Willingness to participate in CAMHPRO activities. Send completed form to: California Association of Mental Health Peer Run Organizations 2000 Embarcadero Cove, Suite 400 Box 80 Oakland, CA 94606 Or e-mail to: sallyzinman@gmail.com

CAMHPRO Definitions (as described in By Laws) QUALIFICATIONS AND CLASSES OF MEMBERSHIP The Corporation shall have two (2) classes of members, designated as Core Member Organizations and Associate Member Organizations. Any organization dedicated to the purposes of the Corporation and satisfying all of the following criteria below shall be eligible for membership as a Core Member Organization on approval of the membership application by the Board and on timely payment of such dues and fees as the Board may fix from time to time: 1. The member must be a consumer/survivor-operated organization that is planned, delivered, and evaluated by consumer/survivors themselves; 2. All of the member s executive management, 51% of staff and 51% of the Board of Directors need to be consumers, as evidenced by bylaws and/or organizational policies; 3. The member must be an independent non-profit organization; 4. The member must have been in existence as an independent non profit for at least two (2) years prior to application as a Core Member Organization; 5. The member should operate on a minimum annual budget of $100,000, although the Board may approve exceptions on a case by case basis; and 6. The member s mission must align with the Corporation s mission, vision, and values as herein and henceforward clarified. Any organization dedicated to the purposes of the Corporation and satisfying the following criteria below shall be eligible for membership as an Associate Member Organization on approval of the membership application by the Board and on timely payment of such dues and fees as the Board may fix from time to time: 1. Meet two of the three of the following CAMHPRO criteria: the member must be consumeroperated at the staff, management, and governance levels. 2. The member must have been operational for at least two (2) years prior to application as an Associate Member Organization 3. The member must have a unique mission statement and organizational identity

4. The member must have a governing body that has decision-making ability, including the ability to hire and review the Executive Director 5. The member should operate on a minimum annual budget of $50,000, although the Board may approve exceptions on a case by case basis MISSION The Corporation is a nonprofit public benefit corporation and is not organized for the private gain of any person. It is organized under the Nonprofit Corporation Law of California ( California Nonprofit Corporation Law ) to transform communities and the mental health system throughout California to empower, support, and ensure the rights of consumers, eliminate stigma and advance selfdetermination for all those affected by mental health issues by championing the work of consumer-run organizations PURPOSE The specific purpose of CAMHPRO is to promote the work and mission of peer-run organizations devoted to advocacy and empowerment for mental health consumers. Through championing the work of consumer-run programs, CAMHPRO will work on local, regional, and statewide levels to promote: The involvement of consumers at all levels of planning, policy, and programming for mental health and related systems; Advocacy efforts o To eliminate stigma and discrimination and promote social inclusion o To protect the rights of people with mental health issues, with special focus on self determination and choice; Consumer employment o Employment opportunities at all levels of the mental health system, including government and contract agencies o Growth of high quality peer support services and the peer support model across health sector o Support for career development and advancement for consumers in all employment; Training and Education o Technical assistance for the development and growth of peer run organizations and programs o Leadership, advocacy, organizational development, and empowerment training for groups and individuals o Conferences and other educational opportunities.