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Youth Mental Health First Aid Registration
offered by the Loudoun County MHSADS, Prevention and Intervention
Instructor Led In-Person Session May 22, 2024

9:00 am to 4:00 pm (30 minute lunch break)
MHSADS, Eastern Loudoun Office
21641 Ridgetop Circle
Suite 210
Sterling, VA 20166

Mental Health First Aid is a three-year certificate course. To be eligible for certification, agreement with the following terms is required:

1) I will complete the required online, pre-work by by May 21, 2024. I understand this will take about 10 minutes or less. I understand that if I don't complete the pre-work by the deadline I will not be admitted to the class on the May 22, 2024. No exceptions.

2) I will fully attend the Instructor Led In-Person Session as scheduled. No exceptions.

3) I will cancel my registration if my plans change or if I am unable to complete the pre-work by the deadline.

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* Indicate below that you understand the requirements and agree to the terms as described.

I understand the requirements and agree to the terms.

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* Please provide the information below:

First Name

Last Name

Organization/Company

E-mail address:

Phone number

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* I am 18 years old or older.

Yes

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* Please share how you learned about this MHFA class

Loudoun County NewsFlash

Loudoun County Social Media

Loudoun.gov website

MHFA was shared in another training; ACEs, QPR, REVIVE!, other

Word of mouth; friend, co-worker, etc.

Other (please specify)