Tees Wide Mental Health Training Hub Application Form
By clicking submit you consent for information provided to be held on computer and other relevant filing systems and shared with your employer and accredited organisations and agencies in accordance with the Data Protection Act 1998 and the General Data Protection Regulation. You understand that the data will be used for the purposes of administration, monitoring of training provision, statistical purposes and we may email you information about relevant professional events and other training courses.
Applicants will be notified by email when possible within 14 days if their application has been successful (please do not assume you have a place until you have been notified).
Please note that a recharge is in place for course cancellations and no-shows (£45 per day for no shows and cancellations made less than 7 working days before).
Date of Application
Job Title or Volunteer/Placement Role
Team/Service (If applicable)
Organisation (If applicable)
Workplace or Home Address (if applying for online/distance learning course, training materials will be sent out to you prior to the course)
Workplace or HomeTelephone Number
Workplace or Home Email Address
Line Managers Name (if applicable)
Line Managers Telephone Number (if applicable)
Line Manager Email Address (if applicable)
Reason for application:
Special requirements we need to be aware of
e.g. access, learning support, communication
NUCO Level 1 Awareness of First Aid for Mental Health (4 hours) Online Training
NUCO Level 2 First Aid for Mental Health (6 hours) Online Training
NUCO Level 3 Supervising/Leading First Aid for Mental Health (2 days) Online Training
A Life Worth Living (4 hours) - Online Training
Adult Mental Health First Aid (2 days) Online Training
Youth Mental Health First Aid (2 days) Online Training
Applied Suicide Intervention Skills Training (2 days)
Mindfulness & Wellbeing 6 week course (1 hour each week) - Online
LivingWorks START Suicide Prevention Skills (90 minute) Interactive Online Programme
Course Start Date (if available) or leave blank
Which Sector does your Organisation operate in?
Do you work in Youth or Adult Services?
How did you hear about this course
Direct contact from the HUB
Is this a Refresher Course
If yes was this training provided by the Teeswide Training Hub
putting UNSUBSCRIBE in the heading or telephone us on 01642 296052
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This form was created inside of Redcar & Cleveland Mind.