Training & Consulting Request Form
MYWORKPLACEHEALTH
Name
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First Name
Last Name
Role/Title
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Organization's Name
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Email
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Phone Number
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Area Code
Phone Number
Please select which program you are interested in
Psychological Health & Safety Certificate for Executives (8 hours)
Psychological Health & Safety Certificate for Managers (20 hours)
Psychological Health & Safety Certificate for Employees (16 hours)
Psychologically Safe Instruction Certification For Adult Educators (24 hours)
Enhancing Psychological Health & Resilience in the COVID Era (60/90 min)
Creating a Civil & Respectful Workplace (60/90 min)
Enhancing Individual & Organizational Change Through Involvement & Influence (60/90 min)
Understanding Our Needs & Enhancing Interpersonal Communication (60-min)
Cultivating a Healthy & Positive Workplace Culture for Remote Teams (60-min)
Safe Return to Work ...in the COVID era (60-min)
Enhancing Work-Life Harmony (60-min)
Mental Health Self-Care for Senior Leaders (120-min)
The Case for Enhancing Psychological Health & Safety (60-min)
All About Cognitive Behavioural Therapy - CBT (60/90 min)
Enhancing Sleep (60-min)
Kids' Mental Health (60-min)
Are you interested in these Psychological Health & Safety (PH&S) services?
MWH Work Environment Assessment
MWH PH&S Strategy Development
MWH PH&S Workplace Advisor Support
MWH 1:1 Psychologically Safe Leadership Development
MWH Training Board / Customized Course Development
How many people will be participating in the program?
When would you like this to happen?
Corporate Training and/or Consulting Details
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Please provide details on your training/consulting request, i.e. the challenges you are experiencing, what your intended outcomes are (definition of success).
Organization Overview & Demographics
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Please tell us more about what your organization does, the number of employees (# of people leaders vs. employees) and any demographics you can share
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