Mental Health First Aid Interest Form
Mental Health First Aid (MHFA) teaches you how to identify, understand and respond to signs of mental illness and substance use disorders. For more info on MHFA, visit the official website -- www.MentalHealthFirstAid.org. Please complete form if you would like to attend one our upcoming trainings.
Name (First & Last) *
Company/Organization Name
Email *
Phone number *
Preferred MHFA Offering *
Required
Preferred Instructor-Led Segment Date (check all that apply) *
Required
I understand the full virtual training is 8 hours -- which includes a 2- hour self-paced segment and a 6 -hour instructor-led segment via ZOOM (break included); and it is REQUIRED to complete/attend both segments in order to receive official certification. *
I understand that I must complete the 2 hours self-paced segment 4 DAYS prior, in order to receive admittance to the instructor-led segment. *
How did you find out about NAMI Urban LA's free MHFA offering?
Would you be interested in bringing MHFA or YMHFA to your company/organization? If so, please describe training needs here (number of potential participants, scheduling preferences, etc) and a NAMI representative will reach out to you.
Any Additional Info?
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy