May 17, 2023 Adult Mental Health First Aid Registration

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Event Timing: Part I is a self-paced 2 hour training that will need to be completed before Part II.
Part II will be held May 17, 2023 at 9:00AM-3:30PM for the Zoom training (with short lunch break). A webcam and microphone are required to participate.

Space is limited to 30 participants. This class is intended for a Rural Audience, please do not register if you do not live or work with rural areas.

Email *

First Name *

Last Name *

phone *

Zip code of work or home (Course is limited to those who live and work in Wisconsin) *

Do you have any special needs for the virtual training? If you are requesting accommodations such as captioning, sign language, etc., please fill out the accommodations form. https://extension.wisc.edu/disability-accommodations/

Have you taken the virtual or blended Youth Mental Heath or Adult Mental Health course in the past

Yes

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Are you an Extension employee or volunteer?

Extension employee

4-H volunteer

other extension volunteer

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Are you involved in the Agriculture Industry?

Yes, I own or work on a farm

Yes, I work with those in farming

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Do you live or work with a Rural Area?

Yes, I live in a rural area

Yes, I work with a rural audience

No - PLEASE DO NOT REGISTER

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Any questions or comments?

A copy of your responses will be emailed to the address you provided.

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