Register for Northeast Arc's Mental Health First Aid Training
Important note: The training is free, but registrants who are not able to attend will be charged a $25 cancellation fee
Name
*
First Name
Last Name
Email
*
example@example.com
Note: If you are a Northeast Arc employee, please use your NeArc email address
Phone Number
*
Please enter a valid phone number.
Preferred Training Date (Please pick your top 2 choices)
*
Thursday, October 30: 9 a.m. to 5 p.m.
Thursday, January 8: 9 a.m. to 5 p.m.
Thursday, February 19: 9 a.m. to 5 p.m.
Tuesday, March 10: 9 a.m. to 5 p.m.
Tuesday, April 14: 9 a.m. to 5 p.m.
Thursday, May 14: 9 a.m. to 5 p.m.
Thursday, June 11: 9 a.m. to 5 p.m.
If this class is full, would you open to other sessions?
*
Yes
No
6. Please select the following category that best represents your role (professional, personal)
*
Direct Support Professional
Caregiver/Family Member/Friend
Manager in Human Services
Health Care Provider
First Responder
Teacher
Self-Advocate
Other
7. Please select the following category that best represents your organization affiliation
*
Arc Chapter
IDD Provider Agency (Not affiliated with the Arc)
Human Services Organization
Healthcare Organization
Emergency Services (Police, Fire, EMS)
Public School (K-12)
Private School (K-12)
University/College
Other
How did you hear about this training?
*
Do you need interpreting or other accommodations?
Do you have any dietary preferences or allergies?
Are you comfortable completing online prework on your own or would you prefer to come in early on the day of the training for assistance?
*
Yes, I can complete the pre-work on my own
No, I would like assistance
Attestation:
*
I understand that if I cancel within 4 business days of the training date, I will be invoiced $25
Submit
Should be Empty: