Youth Mental Health First Aid Training form by Ricky Hill | Nov 3, 2023 | Latest News Mental Health First Aid Training - Youth Training Dates * Select your training datesThursday, 9/28 9:30 am - 3 pm EST Use the dropdown arrow and select your training date. Name * Name First First Last Last Title Church/Organization/Business Role at church/org/business (if applicable) Mobile Phone * Email * Mailing address * Mailing address Mailing address Mailing address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal How did you hear about this training? * Have you taken MHFA before? * Why are you signing up for this training? * By clicking on "Pay with PayPal," you will be redirected to the PayPal site. You do not need to have a PayPal account, just click on the option to pay with either a debit or credit card. Registration is $45/person. If you are human, leave this field blank. Pay with PayPal Start Over
Recent Comments