Exit Now
Intake Line:
1-877-696-6529
MN Disability Law Center:
1-800-292-4150
Exit Now

PAIMI Form

Mid-Minnesota Legal Aid PAIMI Advisory Application

The application will take approximately 6 minutes to complete. The Protection and Advocacy for Individuals with a Mental Illness (PAIMI) program protects Minnesotans diagnosed as having significant mental illness, or a serious emotional disturbance, from abuse and neglect occurring at treatment facilities, residential programs, or in their community. PAIMI Advisory Council (“PAC”) members are people from different backgrounds who are interested in protecting the rights of people who are eligible as defined in the PAIMI Act. Sixty percent (60%) of the PAC membership must be people who have had or currently have a mental illness or are family members of an individual with a mental illness who is a current or former recipient of mental health services. The PAC is charged with providing the Minnesota Disability Law Center (“MDLC”) with information about issues related to individuals with mental health needs. They provide independent advice and recommendations to MDLC. Mid-Minnesota Legal Aid and the MDLC are committed to diversity, equity, inclusion, and social justice. We partner with our Advisory Council and include the perspectives of people across the state of Minnesota in guiding our mental health advocacy. The Advisory Council will review applications and elect new members at its bi-monthly meetings, with the option to add members throughout fiscal year, to ensure that we have a range of voices and lived experiences guiding our work. Please complete the form below and direct questions to: Jennifer Purrington, Legal Director at jpurrington@mylegalaid.org If you need an accommodation to complete the application, please contact Jennifer Purrington. If you’d prefer to mail your application, please mail it to: Jenn Purrington c/o Mid-Minnesota Legal Aid, 111 N. Fifth Street, Suite 100, Minneapolis, MN 55403. Thank you for your interest!

Name(Required)
Pronouns
Address(Required)
Best way to contact you(Required)
Perspectives you bring to the Advisory Council(Required)
The federal law that created our mental health (PAIMI) Advisory Council (PAC) requires that we have representatives from the following groups. PLEASE MARK ALL THAT APPLY TO YOU.
Optional: Demographic Data:
We do not require you to provide any of the information, but it helps us to understand if MDLC and the Council are reaching diverse communities.

More About Your Path to the Advisory Council

Please answer/complete the following questions briefly (in one paragraph or less). Feel free to respond in ways that are accessible to you, such as bullet points or phrases. We look forward to meeting you and hearing about your mental health advocacy experience!
Members are volunteers (not compensated); terms are two (2) years with the option to request reappointment for a second two (2) year term. Members must make every effort to attend all meetings. Currently the council meets every other month virtually via Teams. The Minnesota Disability Law Center provides reasonable travel expense reimbursement and disability accommodations for meetings. If we meet in person in the future, we can cover reasonable expenses, as explained above. If selected to serve on the Protection and Advocacy for Individuals with Mental Illness (PAIMI) Advisory Council, I will commit myself to active, involved participation on the council to promote the human, civil and legal rights of individuals with mental illness and to execute my duties in a manner consistent with this pledge. ***If so, please enter your name below as your signature.***