UAF Mental Health First Aid Registration

Mental Health First Aid

Registration Form
Your Name*

First NameLast Name
Your Email*
example@example.com
Your Phone Number*
Please enter a valid phone number.
Which Training Would you Like to Attend?*
Payment Options*

I will stop by Student Health and Counseling to pay in-person by credit card.Please call me and I will provide my credit card information over the phone.Please bill my UA account and I will pay through UA Online (enter UA ID below).Please charge my fund/org account (enter fund/org info below).
UA ID Number*
Fund/Org Info

FundOrganization
Questions? Contact the UAF Student Health and Counseling Center:
(907) 474-7043 or UAF-SH-CC@alaska.edu

1007 N Chandalar Dr., Fairbanks, AK 99775

UAF is an AA/EO employer and educational institution and prohibits illegal discrimination against any individual: www.alaska.edu/nondiscrimination.
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