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Certifications & Trainings Interest Form
Please complete the following form to tell me more about your organization and interest in training. I am here to help! This form will help me to customize a training for your organization and/or streamline the process for setting up a Certification for your group. Dove's Inner B.E.A.U.T.Y. appreciates your interest and I hope to work with you soon!
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Email
*
Your email
Name
Your answer
Agency/Organization Name
Your answer
Which Certification/Training are you seeking today?
*
Mental Health First Aid - Youth
Mental Health First Aid - Adult
Mental Health First Aid - Specialized Module (Higher Ed, Veterans, Older Adults, Public Safety, EMS/Fire)
QPR Certification
Customized Training
Customized Workshop
Presenter
Required
For Mental Health Fist Aid: What modality are you seeking? (Skip if you are not seeking MHFA)
Completely Virtual (2 hours on your own and 6.5 virtual instruction)
Blended (2 hours on your own and 6.5 hours in person instruction)
Completely In-Person (8 hours in person instruction)
Clear selection
How many people are you seeking to get trained/certified?
*
1-10
10 - 20
20 - 30
More than 30
For Customized Services Only: What topic are you interested in? (i.e. Trauma, Mental Health, Suicide, Disability...)
Your answer
For Customized Services Only: How many days or hours are considering for your group for your topic of choice? (ie. 1 day for 8 hours or 3 days for 2 hours each)
Your answer
What price range are you trying to stay within to train your entire group? (Depending on the type of training and number of people you are looking to get trained the price may be set per person. This helps gauge how I can serve you.)
Less than $500
$500 - $1000
$1000 - $4000
Price is not a concern
Clear selection
Tell Me More about your needs and how you think Dove's Inner B.E.A.U.T.Y. can assist you.
*
Your answer
Send me a copy of my responses.
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