Adult/Youth Mental Health First Aid Training Request Form - Individual

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* 1. Your Name

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* 2. Agency or Business Name

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* 3. Your Role

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* 4. Phone

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* 5. Email Address

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* 6. Which training are you interested in?

Youth - Youth Mental Health First Aid is primarily designed for adults who regularly interact with young people. It is perfect for parents, family members, caregivers, teachers, school staff, peers, neighbors, health and human services workers, and other caring citizens how to help an adolescent (age 12-18) who is experiencing a mental health or addictions challenge or is in crisis.

Adult - Adult Mental Health First Aid is primarily designed for adults who regularly interact with other adults.

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* 7. In Person or Virtual

Virtual - I would like to join a virtual training, if possible.

In person - I would like to join a training in person, if possible.

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* 8. Anything else you would like us to know?