To request access to MHFA Connect, please fill out the following fields to the best of your ability. You will receive an email with your login credentials within one week of submitting the form.

NOTE: This form is intended for accredited Instructors and Coordinators only.

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* 1. First Name

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* 2. Last Name

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* 3. Email (if known, please enter the email previously used to log in to the Instructor Portal)

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* 4. Organization, if applicable

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* 5. State

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