Adult Mental Health First Aid:
No Cost to Participants - Fort Collins - SummitStone Health Partners - 1 Day Course

Seats: 6/15

• Thursday, Jan 27, 2022 8:00 AM—Thursday, Jan 27, 2022 5:00 PM

• 4856 Innovation Dr. Suite B, Fort Collins 80525 View Map

Mental Health first aid is an evidence-based, public health training program that teaches participants the signs and symptoms of mental health challenges or crisis, what to do in an emergency, and where to turn for help. MHFA is implemented around the U.S. and the world. Research has shown that the training reduces stigma, enhances behavioral health literacy, and improves participants' behavioral health.

Instructor(s): This course will be taught by:

Lunch: Lunch is on your own; there are numerous restaurant options available or feel free to brown bag it!

Parking: Please park on the south side of the building

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Cost: No Cost to Participants

Contact Robyn Potter at: robyn.potter@summitstonehealth.org or at 970-305-0742

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Full Name

E-Mail Address

Gender Male Female Transgender Female Transgender Male Gender Variant/Non-conforming Not listed Prefer not to answer

Race/Ethnicity Black or African American Hispanic, Latino or Spanish-origin White (non-hispanic or latino) Asian or Asian American American Indian or Alaska Native Middle Eastern, North African or Arab American Native Hawaiian or Pacific Islander Not listed Prefer not to answer

Age 16-25 26-35 36-45 46-55 56-65 65+ Prefer not to answer

	Full Name	Email Address	Gender	Race	Age	Attended
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			Male Female Transgender Female Transgender Male Gender Variant/Non-conforming Not listed Prefer not to answer	Black or African American Hispanic, Latino or Spanish-origin White (non-hispanic or latino) Asian or Asian American American Indian or Alaska Native Middle Eastern, North African or Arab American Native Hawaiian or Pacific Islander Not listed Prefer not to answer	16-25 26-35 36-45 46-55 56-65 65+ Prefer not to answer	no yes
			Male Female Transgender Female Transgender Male Gender Variant/Non-conforming Not listed Prefer not to answer	Black or African American Hispanic, Latino or Spanish-origin White (non-hispanic or latino) Asian or Asian American American Indian or Alaska Native Middle Eastern, North African or Arab American Native Hawaiian or Pacific Islander Not listed Prefer not to answer	16-25 26-35 36-45 46-55 56-65 65+ Prefer not to answer	no yes
			Male Female Transgender Female Transgender Male Gender Variant/Non-conforming Not listed Prefer not to answer	Black or African American Hispanic, Latino or Spanish-origin White (non-hispanic or latino) Asian or Asian American American Indian or Alaska Native Middle Eastern, North African or Arab American Native Hawaiian or Pacific Islander Not listed Prefer not to answer	16-25 26-35 36-45 46-55 56-65 65+ Prefer not to answer	no yes
			Male Female Transgender Female Transgender Male Gender Variant/Non-conforming Not listed Prefer not to answer	Black or African American Hispanic, Latino or Spanish-origin White (non-hispanic or latino) Asian or Asian American American Indian or Alaska Native Middle Eastern, North African or Arab American Native Hawaiian or Pacific Islander Not listed Prefer not to answer	16-25 26-35 36-45 46-55 56-65 65+ Prefer not to answer	no yes
			Male Female Transgender Female Transgender Male Gender Variant/Non-conforming Not listed Prefer not to answer	Black or African American Hispanic, Latino or Spanish-origin White (non-hispanic or latino) Asian or Asian American American Indian or Alaska Native Middle Eastern, North African or Arab American Native Hawaiian or Pacific Islander Not listed Prefer not to answer	16-25 26-35 36-45 46-55 56-65 65+ Prefer not to answer	no yes
			Male Female Transgender Female Transgender Male Gender Variant/Non-conforming Not listed Prefer not to answer	Black or African American Hispanic, Latino or Spanish-origin White (non-hispanic or latino) Asian or Asian American American Indian or Alaska Native Middle Eastern, North African or Arab American Native Hawaiian or Pacific Islander Not listed Prefer not to answer	16-25 26-35 36-45 46-55 56-65 65+ Prefer not to answer	no yes
			Male Female Transgender Female Transgender Male Gender Variant/Non-conforming Not listed Prefer not to answer	Black or African American Hispanic, Latino or Spanish-origin White (non-hispanic or latino) Asian or Asian American American Indian or Alaska Native Middle Eastern, North African or Arab American Native Hawaiian or Pacific Islander Not listed Prefer not to answer	16-25 26-35 36-45 46-55 56-65 65+ Prefer not to answer	no yes

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