TAKE A CLASS!

Are you interested in taking a YOUTH MENTAL HEALTH FIRST AID "virtual" training for yourself or setting up one for your organization? Please fill out the inquiry form below so we can follow up.

After filling out this form first, you can also follow up with us at educationMWC@gmail.com.

The new virtual format requires participants to take a 2-hour self-paced online instruction followed by a 5 hour virtual class with an instructor. Our classes have up to 20 participants. This format provides a lot of flexibility for participants.

~Thank you, Family Service Agency, Mental Wellness Center and YouthWell
Name (FIRST + LAST) *
EMAIL *
PHONE # *
ORGANIZATION-If you are an taking the course as an INDIVIDUAL, you can skip this question. If you are INTERESTED in setting up a training for your staff or are taking the course as a representative for your ORGANIZATION or SCHOOL, please specify the name of the organization. *
LANGUAGE: Would you like a class in ENGLISH or in SPANISH? *
Which course are you interested in taking? *
If you indicated "Other" in the previous question, please let us know which days/times are typically best for you.
Are you a MENTAL HEALTH PROFESSIONAL? Have you had training in the mental health field? *
ETHNICITY- This information is confidential and used solely for grant purposes *
Required
Gender- This information is confidential and used solely for grant purposes *
Required
How did you hear about us? *
Required
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms