Thank you for your interest in attending our next In-Person Adult Mental Health First Aid Training. Please fill out this survey to get registered.

DATE: Thursday, December 5, 2024
TIME: 10:00 am - 6:00 pm
LOCATION: Drs. Bruce and Lee Foundation Library 509 S. Dargan St. Florence, SC 29506
FEE: No Registration Fee
REGISTRATION DEADLINE: Tuesday, November 26, 2024

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* 1. Do you attend a faith-based organization?

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* 2. Are you attending this training on behalf of a faith-based organization?

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* 3. Your contact info:

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* 4. By registering for this course, I agree to receive monthly HOTL e-newsletters, text messages and other information on other health-related issues.

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* 5. Faith-Based Organization Demographics: Total Roster Membership

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* 6. Faith-Based Organization Demographics: Number of Active Members 18 and Older

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* 7. Faith-Based Organization Demographics: Number of Active Members Younger than 18 Years

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* 8. Faith-Based Organization Demographic Profile

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* 9. Do you have any dietary restrictions? (Select all that apply.)

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