Mental Health First Aid Certification Registration
Please complete this form to register for the virtual Mental Health First Aid certification offered by Zeta Phi Beta Sorority, Inc.; New York State Mental Health Team.
Full Name
*
First Name
Last Name
Email
*
example@example.com
Mobile Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Affiliation/ Organization and/or Chapter (if applicable)
*
Role
*
Please Select
Member
Officer
Community Partner
Other
Select your role
Preferred Virtual Training Date
*
Sunday May 17, 2026 @ 3pm-9pm EST
Thursday May 28, 2026 @ 4pm-10pm EST
Do you have any accessibility needs or accommodations?
Submit
Should be Empty: