Mental Health First Aid (MHFA) for Adults Training Interest Form Spring 2025

Thank you for your interest in participating in Mental Health First Aid for Adults training! Please fill out the questions below so that we can accommodate your interest. If you have any questions, please contact the HERC at 217-581-7786 or herc-mphr_marketing@eiu.edu.

*Please note that trainings are required to have 5 attendees to be valid per MFHA Organizational rules. Dates listed are not valid dates until then. These are full, 8 hour trainings regardless of training modality.

Hybrid trainings consist of 2-3 hours of self-directed on-line content which must be completed prior to the remainder of the training which is delivered in-person.

Please provide us with your first and second options for the dates provided, and you will be notified if your date becomes valid below.

Name Name First Last
Phone Phone - ### - ### ####
Email
Department/Unit
Are you Seeking to Sign-up As a group/department or as an individual seeking to join a group?

Are you Seeking to Sign-up As a group/department or as an individual seeking to join a group? Group/Department Individual
If you are paid employee or graduate assistant, within your EIU roles and responsibilities, do you provide academic, professional, and/or personal support to students?

If you are paid employee or graduate assistant, within your EIU roles and responsibilities, do you provide academic, professional, and/or personal support to students? Yes No
Are you considered an academic advisor or have academic advising within your roles and responsibilitiies?

Are you considered an academic advisor or have academic advising within your roles and responsibilitiies? Yes No
Are you an advisor to a recognised student organization or have advising a student organization within your roles and responsibilities?

Are you an advisor to a recognised student organization or have advising a student organization within your roles and responsibilities? Yes No
If you are signing up as a group/department, what is the name of your organization?
If you are signing up as a group/department, how many people do you believe may attend the training?
Primary Choice

Primary Choice Tuesday, January 21 & Thursday, January 23, in-person, 12:00 p.m. - 4:00 p.m. both days Friday, January 31, hybrid, in-person segment from 9:00 a.m. - 4:00 p.m. Friday, February 7, in-person, 8:30 a.m. - 4:30 p.m. Tuesday, February 11, in-person, hybrid, in-person segment from 9:00 a.m. - 4:00 p.m. Tuesday, February 18 & Thursday, February 20, in-person, 8:00 a.m. - 12:00 p.m. Friday, March 14, in-person, 8:30 a.m. - 4:30 p.m. Thursday, March 27, hybrid, in-person segment from 9:00 a.m. - 4:00 p.m. Tuesday, April 8 & Thursday, April 10, in-person, 12:00 p.m. - 4:00 p.m. Wednesday, April 30 & Thursday, May 1, in-person, 12:30 p.m.- 4:30 p.m. Tuesday, May 13, in-person, 8:30 - 4:30 p.m.
Secondary Choice

Secondary Choice Tuesday, January 21 & Thursday, January 23, in-person, 12:00 p.m. - 4:00 p.m. both days Friday, January 31, hybrid, in-person segment from 9:00 a.m. - 4:00 p.m. Friday, February 7, in-person, 8:30 a.m. - 4:30 p.m. Tuesday, February 11, in-person, hybrid, in-person segment from 9:00 a.m. - 4:00 p.m. Tuesday, February 18 & Thursday, February 20, in-person, 8:00 a.m. - 12:00 p.m. Friday, March 14, in-person, 8:30 a.m. - 4:30 p.m. Thursday, March 27, hybrid, in-person segment from 9:00 a.m. - 4:00 p.m. Tuesday, April 8 & Thursday, April 10, in-person, 12:00 p.m. - 4:00 p.m. Wednesday, April 30 & Thursday, May 1, in-person, 12:30 p.m.- 4:30 p.m. Tuesday, May 13, in-person, 8:30 - 4:30 p.m.
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