Two (2) personal reference checks are required to become certified.
- Download and print two copies of this form
- Enter your name, sign and date each form
- Request that your two (2) references complete the rest of the form
- Have them faxed or mailed to the NAMI Maine Family Respite program at 1 Bangor Street, Augusta Maine 04330 or faxed to (207) 621-8430
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