EDUCATOR Registration Form

EDUCATOR Registration Form

The Growth Center I, Inc.
Teacher -Focused Sessions at the Level Up Youth Mental Wellness Conference

The Level Up Youth Mental Wellness Conference offers several tailored sessions for educators designed to equip them with the tools, knowledge, and strategies to support the mental well-being of their students and create healthier classroom environments. These sessions focus on improving educators self-care, mental health awareness, fostering student-teacher relationships, and addressing the unique challenges educators face in supporting youth mental health.

The Level Up Youth Mental Wellness Conference is not just focused on supporting the mental wellness of youth but also acknowledges the importance of educator well-being. The Educator Self-Care Sessions offer a dedicated space for educators to rejuvenate, practice self-care, and learn tools to manage their own mental and emotional health. These sessions provide much-needed relaxation, mindfulness, and rejuvenation techniques to combat stress and burnout.

Sponsored by:

Women of Color on the Move, THEE T.R.E.E. of Life, New Vision Services Inc., Hearltand Child & Family Services, Continuity Consulting, Envision Youth Services, Broke Free Productions, DJ SouthDouble 06, DJ Rainey
Rate your stress level

Type option 1Type option 2Type option 3Type option 4
Please rate your YOUTH mental health knowledge. Do you know proper steps to support youth in crisis?

I don't have any idea at allI know a little about youth mental health challengesI have learned about youth mental health challenges online or on my ownI have working experience with helping youth to manage their mental health in crisisI'm currently work with youth with mental health challenges and want to improve my skills and knowledgeOther
I'd like to learn about the following:

Mental Health First AidHow to help youth when in crisisSelf-care techniquesWorking with parents with mental healthMy mental healthDeveloping a plan for my familyOther
Participant Information
Name

First NameLast Name
Phone Number
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact
Emergency Contact Phone Number
Please enter a valid phone number.
Occupation
Optional / Current or Previous
Company Name
Optional / Current or Previous
Job Position Title
Optional / Current or Previous
How many years have you worked in your profession?
How Many years of experience do you have working with youth?
Please share why you decided to attend the Level UP YOUth Mental Wellness Conference.
We will offer One Day Educator Mental Wellness Retreats May and August 2025 for you to focus on your self-care. These events are relaxing and fun-filled. Please let us know if you would be interested in receiving more information. We do not like spam and we promise not to spam you
Any additional comments or information you would like to share?
How did you learn about this virtual training program?

FacebookEvent BriteInstagramYouTubeSearch EngineNewsReferralIndeedTwitterTikTokEmailFriend or Family MemberOther
Please rate how you feel about addressing youth mental health issues.

1

2

3

4

5

1 is Not my Job, 5 is I 's a part of my job

Please select True or False. What is your perception?

	True	False
Youth often act like they have a mental health issue, but they just make excuses, are usually trying to get attention or get out of doing work.
I talk to students and connect them to resources for help
I know who to refer a student to for mental health needs
I feel equipt to help a youth experiencing mental health challenges

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EDUCATOR Registration Form

Teacher -Focused Sessions at the Level Up Youth Mental Wellness Conference

Participant Information