A free course from New River Valley Community Services in Virginia

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* 1. Please select the date of the Mental Health First Aid training you wish to attend: (Note that all classes require 2 hours of pre-work to be completed prior to date. All classes begin at 9am. Youth classes are approximately 4 1/2 hours with a 30 minute break and adult classes are up to 6 hours with a 30 minute break)

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* 2. Your First Name:

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* 3. Your Last Name:

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* 4. Your Email Address:

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* 5. Best Daytime Telephone Number to Reach You:

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* 6. Agency or Affiliation:

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* 7. For demographic purposes only: In what year were you born? (enter 4-digit birth year; for example, 1976)

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* 8. For demographic purposes only: What is your race or ethnicity?

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