Print Page   |   Contact Us   |   Report Abuse   |   Sign In   |   Join NAMI Maine
How To Provide Respite - Application
Share |


How to Become a NAMI Maine Certified Family Respite Provider





Welcome to the Family Respite program. Being a respite provider is a rewarding and fulfilling experience. Thank you for applying!

Please complete the forms below and submit them to Karen Harrington or Chelsay Evans for processing. Respite providers are hired as per diem employees for NAMI Maine and must be at least 18 years old. Individuals who would like to provide respite services can work up to 29 hours per week.

Getting Certified Is Easy. Use the following chart to help you complete all the necessary steps.


Click here for complete respite provider application packet


Application Requirements

Details and Instructions

You must be at least 18 Years Old



Provide NAMI Maine with two (2) References


Reference forms available in application packet

You must be certified in CPR/First Aid/Blood Borne Pathogens (BBP)

If you are not already certified, there are several online resources for becoming certified below - just click on the links: 



Provide us with a receipt for the cost of the classes and we will reimburse you for the cost (up to $50).

Acceptable Background Checks
(Child Protective Services, Maine Motor Vehicle and Maine State Bureau of Investigation).


Make sure you include the signed form for the DHHS Child Protective form

 The background checks are done by NAMI Maine.


Background check forms available in application packet


NAMI Maine pays all costs related to the background checks.

30 Hours of child-related education or the equivalent: 



(Make sure you send in copies of any certifications with your application)

Behavioral Specialist I Certification

Behavioral Health Professional Certification

Acceptable combination of child-related formal training,

seminar hours and academic courses

Fill out and sign the NAMI Maine Per Diem Employee Application


Family respite provider (per-diem) application available in application packet 

Send in your work history or resume with your application


Once you have completed all the steps above, submit your application.


Mail to:

NAMI Maine Family Respite Program

1 Bangor Street

Augusta, Maine 04330


Fax 207-621-8430


Scan and Email to


If you have any questions, call NAMI Maine and ask to speak to Karen or Chelsay.

1-800-464-5767 or 622-5767



Membership Management Software Powered by®  ::  Legal