Community Clinic Association of Los Angeles County

Mental Health First Aid Instructor Interest Form

If you or your organization has staff that are interested in becoming a Mental Health First Aid Instructor, please complete the form below:

Attendee Name*
First Last
Attendee Title*
Organization*
Attendee Email*
Enter Email Confirm Email
Phone Number*
Subscribe to Training Center
By checking this box, I agree to be added to the Training Center mailing list.
Photography and Recordings*
By checking this box, I agree to not take screenshots or record other attendees without expressed permission.
Add more Attendees
First Name
Last Name
Attendee Title
Attendee Email
Email
This field is for validation purposes and should be left unchanged.

Community Clinic Association of Los Angeles County