Virtual Mental Health First Aid Training

Register Online

Required fields are indicated with an asterisk (*)

Registrant Information

* First Name

* Last Name

Pronouns This field is optional.

* Organization Affiliation or Workplace Name Please enter your workplace or organization if you are taking this course through a workplace or organization. Enter "Self" if taking this course without an affiliation.

* Are you an MSU Extension Employee? Yes No

* Address Please provide your home address, not your work address.

Addt'l Address

* City

* State

* County Choose Not Applicable from the dropdown list if you live outside of Michigan.

* Country Please note this course can only be provided to individuals who are located in the United States, its districts, or its territories. You do not have to be a U.S. citizen to take this course. Visit https://mhfainternational.org/international-mental-health-first-aid-programs/ to see what other countries Mental Health First Aid is provided in.

* Zipcode

* Phone Number Please provide the best number to reach you at for where you plan to be during the course.

Secondary Phone Number Please provide if different than the above number as an alternate number to reach you.

* E-mail Do NOT use a shared email address. Use your individual organization email address or personal email address as desired. This email address will be used for all communication regarding the course as well as logging into your Connect account.

* Do you already have a Connect account? Yes No

You may already have a Connect account if you signed up for or took any version of Mental Health First Aid after 2019.

Use of Information

Email addresses and phone numbers will not be shared with any outside organizations or entities. Contact information is collected to provide necessary information to registrants about the course.

Registration Type * General Registration ($45.00)

Acknowledgment of Understanding

I have read, understood, and agree to the information and instructions on the first page of this registration. For any questions email msue.mhfa@msu.edu.

* I have read and agree to the above statement.

Contact Information

For information, contact the Mental Health First Aid program at msue.mhfa@msu.edu.