This IN-PERSON training will take place on December 12th from 9:00 a.m. to 5 p.m.

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* 1. Participant Information

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* 2. Which category best represents your organization and interest in Youth Mental Health First Aid?

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* 3. Organization and job title (if applicable)

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* 4. Please type your name in the box below to acknowledge the following statements: I understand that I will receive an email invitation from MHFA Connect (please check your spam folder) after the training. I understand that I must complete the evaluation form online and print my certificate.

The following three questions are optional. This information is collected to ensure Youth Mental Health First Aid trainings reach all populations in Alexandria.

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* 5. What is your race? 

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* 6. What is your gender? 

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* 7. What is your age? 

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