Youth Mental Health First Aid

January & May 2020 Certified Instructor Trainings

Please complete this survey to indicate interest in and plans to attend the January or May 2020 Certified Instructor Training for Youth Mental Health First Aid. These trainings are funded by the Department of Elementary and Secondary Education.

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* 1. Your Contact Information

Name

School & District

Work Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Work Email Address

Work Phone Number

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* 2. Are you interested in attending a Certified Instructor Training for Youth Mental Health First Aid?

Yes

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* 3. Are you planning to submit an application for the January 2020 training - to be held in Devens, MA?

Yes

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* 4. Are you planning to submit an application for the May 2020 training - to be held in Springfield, MA?

Yes

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* 5. For our planning purposes, if you are interested in both of these trainings, which is your preferred location/date: Devens in January 2020 or Springfield in May 2020?

Devens in January 2020

Springfield in May 2020