Application to Become A New Instructor

Application for New MHFA Instructors
The Mental Health First Aid (MHFA) Collaborative Project Team is seeking passionate individuals to join their mission in promoting mental wellness.

Currently, we have funding to pay for:

-3 instructors to teach organizations that serve older adults.

However, please submit this form if you are interested in these or future opportunities as we may get new funding and will keep your application on file to review if we do.

You can also become an instructor at your own cost ($2100 for non members for adult/youth and $1700 for teen instructors) by working directly with the National Council for Mental Wellbeing. Hopefully, you can find another funding source to help pay the fee. If you become an instructor, feel free to contact us and we will invite you to join the MHFA Collaborative projects.

Thank you for your interest in helping others learn about mental wellness!

Your MHFA Collaborative Project Team
Name

First NameLast Name
Email

Confirmation Emailexample@example.com
Residential Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
County
Phone Number
Please enter a valid phone number.
Employer
What experience/credentials/background do you have that would make you a good MHFA Instructor?
We are looking for people who have the time and flexibility to spend the day teaching MHFA.
Do you work full time?

YesNo
We are looking for experienced trainers. How many days a month do you currently train/teach (on any topic or curriculum)?
Our intention is to build a network of Instructors committed to providing high quality MHFA over the next five years. How many years do you plan to teach MHFA? *
In which curriculum are you most interested?

YouthAdultTeen MHFAI am already certified as a youth instructorI am already certified as an adult instructorI am already certified as a teen instructorOther
In what curriculum are you most interested? (Check all that apply)

YouthAdultTeen MHFAI am already certified as a youth instructorI am already certified as an adult instructorI am already certified as a teen instructor

Audiences of Focus?

	What, if any, community do you belong to ?	Which one group of people do you work with/serve most?
Youth Aged 8-18
Teens Aged 15-18
College Aged 18-22
Minorities (Ethnicity, LGBTQ+, Sexuality, rural communities, etc.)
Faith-Based Organizations
First Responders
Certified Peer Recovery Supporters
Older Ohioans
Military/Veteran
Other

How did you hear about this opportunity?*
Why do you want to become a MHFA Instructor?*
Please upload your resume. *

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Application for New MHFA Instructors