Muslims Thrive Mental Health First Aid Certification Training Interest Form
JazakAllah khair for your interest in helping us host a Mental Health First Aid Certification Training! On behalf of the Muslims Thrive organization, an initiative dedicated to supporting mental health awareness initiatives in NY, we're honored that you'd work with us to bring this much needed training to your institution. Below you'll see a detailed breakdown of all the information pertaining to hosting a certification training session:
Time Frame: The certification course is 8 hours long (including multiple 15 minute breaks, and a 1 hour lunch break). Due to our schedules, we prefer holding training sessions on the weekend, though we can also do weekdays if sufficient time in advance is given for bookings.
Registration: We can register as many individuals as your venue can hold, provided there's enough interest. We will provide a separate googleform for registration to help us keep track of registration numbers, and facilitate our distribution of certificates.
Venue Requirements: We bring a powerpoint presentation, a DVD, flipchart, and markers to our trainings. Venues must be fully A/V compatible, must comfortably seat all of the attendees, and must grant desk space for attendees to use their textbooks and materials.
Cost: The NYC DOHMH fully sponsors all of the certification fees, textbooks, and course materials as part of their "ThriveNYC" initiative. However, they do not cover food for attendees or grant compensation for the instructors. To offset the cost of ancillary materials as well as travel costs for our instructors, our fee is a modest 125$. Optional costs would be for providing refreshments for the participants if you choose to serve food. Please let us know if the aforementioned fee is difficult for your organization to meet as we do not want finances to prevent this crucial information to reach the community.
Certification: Upon completion of the training, we collect registration and evaluation forms, and grant you a mental health first aid certificates which are valid for a period of 3 years and can be renewed online.
If you have any questions or concerns, please feel free to reach out to us at
. JazakumAllahu khairan, we look forward to hearing from you soon!
What is the name of your organization/group/company/establishment?
What is your full name?
What is your role with the organization/group/company/establishment?
Please provide your email address to coordinate logistics.
Please provide a contact number for communication.
Approximately how many attendees do you anticipate your institution can bring to a training?
1 - 10
10 - 20
20 - 30
30 - 40
40 - 50
Please list the venue name & address for potential training session.
Please list 3 specific date preferences for when you'd like us to conduct the mental health first aid training.
Do you have any particular questions, comments, or concerns regarding the training itself, the certification, or the logistics for the training?
Page 1 of 1
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service