Youth Mental Health First Aid (YMHFA) Training - Berkeley USD
Date: Saturday, April 19, 2025
Time: 9:30 am - 4:30 pm 
How: In-Person Instruction 
Where: Berkeley High School 1980 Allston Way, Berkeley, CA 94704

Instructions: The information collected in this Pre-Registration Form is for use by your YMHFA Instructor, the California Department of Education. After submitting this form, your instructor will email you to register for the training and obtain training materials from the National Council for Mental Wellbeing.
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Email *
Use your work email address if employed by a school, district, or COE. Please use the same email throughout the entire YMHFA Training. Using a different email address can cause access issues.
First Name *
Last Name *
Cell phone (in case of technical issues) *
In which county do you work or reside? (if you work and reside in different counties, please select the county you work in)  *
Are you a school or community-based mental health provider (MFT, LCSW, ASW, LPCC, School Psychologist, School Social Worker, School Counselor)? *
Please check if you are employed by any of the following:
What is your primary role in education? (Please check one) *
If you are not a school, district, or COE staff, please let us know your primary role with youth ages 6-18. (Please check one) *
What level of mental health training have you completed? Please note: there is no minimum level of education or experience required to take this YMHFA course. *
Little to No Experience
Extensive Experience (degree)
How would you describe your race/ethnicity? Check all that apply.
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