Skip to content
Disaster Mental Health Preparedness Training - Interest Form
Thank you for your interest in the
OVS Disaster Mental Health Preparedness Training
. Due to the anticipated popularity and limited space for these trainings, in order to be considered for participation, this Interest Form MUST be completed. After submission, OVS staff will reach out to eligible candidates with additional training details, including scheduling logistics, costs, registration guidelines and more. Thank you again!
*
1.
Please enter the following information:
(Required.)
Name:
Job Title:
Organization:
Email:
Phone Number:
*
2.
Please indicate if you are a program director and/or supervise front-line staff:
(Required.)
Yes
No
Other (please specify)
*
3.
Please select the
New York State Region
in which your agency primarily provides services:
(Required.)
North Country
Capital Region
New York City
Long Island
Mid-Hudson
Mohawk Valley
Finger Lakes
Central New York
Southern Tier
Western New York
*
4.
Please describe (in 100 characters or less) why are you interested in participating in the OVS Disaster Mental Health Preparedness Training.
(Required.)
