YMHFA questions 2021- 2022
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School/Organization Name *
School/Organization Leader Name and Title *
Please list the name and title of the school decisionmaker (principal, superintendent, etc) who is authorized to schedule this training.  
School/Organization Zip Code *
If more than one zip code applies, please use the zip code of the school district's main office.
Contact Information
Please provide the name and email address of the best person with whom NAMI Indiana and our instructors can coordinate training details. Generally, this person will be an administrative assistant or secretary.
Name *
Email Address *
Phone
Training Needs
Please provide the following information to help us find an instructor that can meet your training needs.
What is your desired training date and time? *
Youth-MHFA is an 6.5 hour course and a one hour lunch beak is recommended. If several dates/times would work for you, please list up to three options ordered by preference.
Can you guarantee that at least 5 employees from your school or district would be able to attend this training? *
5 participants is the minimum class size for free Y-MHFA trainings. The maximum class size is 25.
Does your school or school district have a training room or classroom available on the training day that can accommodate up to 25 participants? *
If yes, would the following  items be  available for instructor use?
Please check all that apply.
If space is available, would you be willing to open this free training  opportunity to the community (parents, social workers, etc) once your staff have had an opportunity to sign up? *
Other Learning Options
• Virtual. First Aiders will complete a 2-hour, self-paced online class, and then participate in a 4-hour, Instructor-led video conference.

• Blended Learning. After completing a 2-hour, self-paced online class, First Aiders will participate in a 4-hour, in-person, Instructor-led class.

With these options, please schedule 3-4 weeks out to give participants enough time to finish the self-paced training.

Would you be interested in scheduling a blended or virtual training ? *
If yes, which one?
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