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October 14 Adult MHFA Virtual Training Registration Form
Event Timing: Friday, October 14, 2022, 9 am to 4 pm
Contact us at (510) 967-4890 or
info@mhiministries.org
* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Mobile Phone Number
*
Your answer
Address
*
Your answer
Why are you signing up for this Adult MHFA Training?
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To better care for myself and my family
To better support the mental health of individuals in my business
To support patients and fellow staff as a medical professional (nurse, doctor, therapist)
To support clients with IDD or other disabilities I serve as a direct service provider
To strengthen my ability as a teacher to support my students
To meet a class requirement or learn more about mental health for a class
Other:
I understand that I must submit a $50 training fee payment at
https://checkout.square.site/merchant/ML0PW084E24MG/checkout/O3ZGOULFEO4TZD57WUTZAW5C
before I am registered for this class. This fee includes access to a Mental Health First Aid USA learning management account, the 2-hour, self-paced online course, and all the class materials.
*
Yes
Required
I understand that I must complete a 2-hour, self-paced online course by Friday, October 7 at noon, or I will lose my spot in the class and will not receive a refund of the $50 training fee.
*
Yes
Required
I want to join MHI Ministries mail list for future MHFA training sessions & events. MHI Ministries will never sell my information, and I will receive only occasional emails directly from MHI Ministries.
*
Yes
No
Required
Send me a copy of my responses.
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