Mental Health First Aid Registration: University of Illinois Extension

Introduction

Please complete the form below to register for a Mental Health First Aid for Agricultural Communities course offered by Illinois Extension. Email will be the primary method of communication between instructors and participants. Courses will be hosted on Zoom. Additional information will be delivered to the email address provided including course materials and evaluation forms.

1. Which of the following Mental Health First Aid courses do you want to register for? (please note, registration closes two weeks prior to the start of the course). Online courses require 2 hours of pre-course work completed online prior to participating in the training.

ADULT - July 21, 2022 9:00AM - 4:00PM

2. What is your name (first and last)

limited to 500 words.

3. What is your primary email address (this will be the email instructors and MHFA will communicate information to)?

4. What is your occupation?

limited to 500 words.

5. Who is your employer?

limited to 500 words.

Include your email address in your submission to:

Get a copy of your answers

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College of Agricultural, Consumer & Environmental Sciences

Mental Health First Aid Registration: University of Illinois Extension

Introduction

2. What is your name (first and last)

3. What is your primary email address (this will be the email instructors and MHFA will communicate information to)?

4. What is your occupation?

5. Who is your employer?