Community Mental Health First Aid Certification Course Application
This application is to be completed by individuals who are interested in organizing a Community Mental Health First Aid Certification course in your agriculture community. Please complete all questions below and submit. Due to the overwhelming response, there will be a wait list created and communities that qualify will be chosen on a lottery system across Canada. Applications will be accepted until Sept 30 at which time communities will be chosen within 30 days. If you have any further questions please contact us at hello@domore.ag
In order for a course to be held in a community, we need a lead person to help organize the training, in partnership with Do More Ag. Do More Ag will partner with you to help you organize the training for your community. As the lead organizer, responsibilities include, but not limited to, confirming a facilitator, facility rental, catering coordination, attendance recruitment, collecting attendee names, providing feedback The Do More Ag Foundation, and submitting training expenses to Do More Ag for reimbursement. Are you willing to organize the Mental Health First Aid certification course in your community? *
Please name the community in which the Mental Health First Aid certification course will be held. *
Your answer
First Name *
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Last Name *
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Address *
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City/Town *
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Province/Territory *
Postal Code *
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Contact Number *
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Contact Email *
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Occupation *
Required
Do More Ag can help find a Mental Health First Aid facilitator for your area. Please indicate if you require assistance, or if you have contacted or confirmed a Mental Health First Aid facilitator already. If you've contacted or confirmed a facilitator, please provide their information below. *
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When will the Mental Health First Aid course be held (please provide a date if you require a specific date, or if there is flexibility, please list a month, or season)? *
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Are there members of your community already interested in attending a Mental Health First Aid course? *
The Mental Health First Aid Course is over two consecutive days. Do More Ag will partner with you to help recruit 25 members of your community to attend and we will need your help to fill the seats in the training course. What is your plan for recruiting 25 members of your community to attend the Mental Health First Aid course? *
Your answer
Is Agriculture a primary industry within your community? *
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