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HS MHFA Instructor Training Scholarship Application

Dear Healthy Start Grantees,

With support from the Division of Healthy Start and Perinatal Services (DHSPS), the Healthy Start TA & Support Center (TASC) is pleased to be able to provide scholarships to four (4) Healthy Start staff members to complete the Mental Health First Aid Instructor Certification Training. TASC will cover the cost of the training registration for selected applicants. For more information about this training opportunity, please click here.

This application will take 20-30 minutes to complete. Please note:
  • Please do not fill out this application on someone else's behalf (including for staff who you plan to onboard soon). The scholarship cannot be transferred.
  • Please only complete this application if you are prepared to and able to complete the training.
  • Please only complete the application if you are willing to provide the Mental Health First Aid Training to your fellow Healthy Start grantees upon completing the instructor training. 
  • You must receive approval from your Healthy Start Project Director and your direct supervisor (if different from your PD) before submitting this application.
Please complete this application by COB Friday, 6/11. If you have any questions, please email healthystart@nichq.org. Thank you for your interest and your dedication to this important work!

Be well,
The Healthy Start TA & Support Center 
9. Is your Healthy Start Project new this grant cycle? *This question is required.
10. Which of the following populations do you provide services to? (check all that apply) *This question is required.
11. Grantee agency type: *This question is required.
12. Are your services primarily: *This question is required.
13. Have you ever participated in a mental health training? *This question is required.
18. Please check the boxes below to indicate you understand the following: *This question is required.