Youth Mental Health First Aid training
First Name *
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Last Name *
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Current Position *
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Email *
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Phone Number *
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District Name *
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Business Address *
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City *
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Zip Code *
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Have you taken a Mental Health First Aid course? *
If so, when?
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Please provide a description of your personal and/or professional experiences in the field of mental health that qualify you to teach a Mental Health First Aid course (i.e. clinical experience, personal or family history, social service experience, etc.). Please provide time frames for any relevant experience. (max 300 words) *
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Please provide a description of your experiences in adult instruction that would qualify you as a strong candidate to be an effective Mental Health First Aid instructor (i.e. group facilitation, teaching, etc.). Please provide time frames for any relevant experience. (max 300 words) *
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What are the key messages of Mental Health First Aid? (max 200 words) *
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What would you do if during one of the Mental health First Aid training sessions you are conducting, a participant approaches you privately about a personal mental health problem s/he is experiencing? (max 250 words) *
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How does Mental Health First Aid support/complement the work you or your organization is already doing? (max200 words) *
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Please provide some examples of how you have effectively networked with organizations, local services or other partners within your community to support an initiative (i.e. public education initiative, community event, volunteering, etc.).** (max 200 words) *
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Mental Health First Aid is intended to have a broad appeal to the public. Please describe your plan to implement this program in the next year. Be sure to include information about how you plan to secure (or have secured) funding, how you plan to market your courses, who you will partner with and what audiences you plan to target.** (max 400words) *
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When do you plan to teach your first course and who will be your target audience? (max 150 words) *
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Please select one of the following dates: *
Participants will be selected based upon eligibility criteria and distribution of trainers in the region for which they wish to attend. Applicants will receive email communication regarding the status of their application.
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