Mental Health First Aid Training Request
1) If you would like to host a no-cost training just for your organization (place of work, school, worship, private company, etc.) please complete the form to start the process.
 
2) We ask that you guarantee at least 15 participants and provide three possible training dates that are at least 4-6 weeks in advance of completing this request, so that we have time to select the best instructor match for your group.  

3) You will receive a communication within two weeks after submitting your request to confirm dates and other training details.  

4) Please note that we are only offering virtual ADULT and YOUTH Mental Health First Aid trainings at this time. Modules are forth coming


If you have any questions about the process or would like further information, please contact our office at 215.685.3755 or email us at mhfa_philly@pmhcc.org.

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Email *
Contact Person Name *
Alternate Email address (if applicable)
Name of Organization *
Contact Number *
Anticipated number of participants *
Maximum 30 Participants
Does your organization operate in the City of Philadelphia? *
This course is provided at NO COST only to those who live, work or study in the City of Philadelphia.
Which virtual MHFA curriculum are you inquiring about? *
Required
Please choose the MHFA session you are considering *
Required
Preferred Date(s) *
(Must be at least 4-6 weeks from date of submission for General Adult/Youth)
MM
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DD
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Start Time *
Virtual led sessions are 5.5 hours with an additional 30 minutes for breaks. 6 hours total is needed.
Time
:
End Time *
Virtual led sessions are 5.5 hours with an additional 30 minutes for breaks. 6 hours total is needed.
Time
:
Preferred Date #2 *
(Must be at least 4-6 weeks from date of submission for General Adult/Youth)
MM
/
DD
/
YYYY
Start Time *
Virtual led sessions are 5.5 hours with an additional 30 minutes for breaks. 6 hours total is needed.
Time
:
End Time *
Virtual led sessions are 5.5 hours with an additional 30 minutes for breaks. 6 hours total is needed.
Time
:
Preferred Date #3 *
(Must be at least 4-6 weeks from date of submission for General Adult/Youth)
MM
/
DD
/
YYYY
Start Time *
Virtual led sessions are 5.5 hours with an additional 30 minutes for breaks. 6 hours total is needed.
Time
:
End Time *
Virtual led sessions are 5.5 hours with an additional 30 minutes for breaks. 6 hours total is needed.
Time
:
How did you hear about Mental Health First Aid
Comments (any additional remarks to help plan for your training)
If you are a Mental Health First Aid instructor conducting this training please indicate.
A copy of your responses will be emailed to the address you provided.
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