Mental Health Awareness Training (MHAT) Request

Mental Health Awareness Training (MHAT) Request
Request Status
Scheduled Date

MonthDayYear
Date
Format:
Scheduled Time

Hour Minutes

AM/PM Option

to

Hour Minutes

AM/PM Option
Total 0.0
Scheduling Notes
View the full MHAT Catalog of Courses for detailed course descriptions.

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RESA
District
Please select a training:
- What is the expected number of participants?
- Who is the intended audience for this training
- Who will be attending the training? (Select all that apply)
  
  Other
- The training you selected offers Continuing Education Units (CEUs) for certain professional groups. Would you like CEUs for participants in your training, if available?
- If yes, please list the profession(s) for which CEUs are requested.
  Please note that CEUs are not available for all professions. Availability is subject to the requirements of the approving organization, including the lead time before the training date.
- Who will be attending the training? (Select all that apply)
  
  Other
- Please select three date and time options for scheduling. The training provider will select the first available date.
  
  Please reference the course catalog for the description and duration of each course.
- Date Option 1 (Preferred)
  
  MonthDayYear
  Date
  Hour MinutesAM/PM Option
- Date Option 2
  
  MonthDayYear
  Date
  Hour MinutesAM/PM Option
- Date Option 3
  
  MonthDayYear
  Date
  Hour MinutesAM/PM Option
- What training format do you prefer?
- This training is only available in an in-person format.
  
  Please provide the training site address below.
- Please list the address of the training site:
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Please provide any additional details/instructions here:
- Name
  
  First NameLast Name
- Job Title
- Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Email
  
  Confirmation Emailexample@example.com
- Is the training day point of contact the same as the requestor?
- Please provide the contact information of the person that will be available on the day of training.
- Name
  
  First NameLast Name
- Job Title
- Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Email
  
  Confirmation Emailexample@example.com
- Please select a training:
- Please select a training:
- RESA Email
- Contractor Email
- MHAT Scheduling Email
- Should be Empty: