Online Mental Health First Aid (MHFA Adult) - 25, 26 June, 2 and 3 July 2024

Manchester Mind Training Details - MHFA

First Name *

Last Name *

Current Employer

Email *

Phone

Course materials are posted ahead of the course. Please provide the address you'd like your materials posted to

House Number/Name and Street Address *

City *

Post Code *

Do you have any special requirements, (e.g. needing large text) and are there any practical ways we can assist?

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Any additional information

If you have a discount code, enter it here

Billing Details

Invoice Name FAO (Billing) *

Street Address (Billing) *

Supplemental Address 1 (Billing)

City (Billing)

Postal Code (Billing) *

Email (Billing) *

Phone Number (Billing)

PO number (if required) and any further notes

This is really important to us, we really appreciate your help in completing the following questions. We are asking for this information for two reasons:
1) We need to be able to demonstrate that we comply with equality legislation aimed at preventing discrimination in the delivery of our services.
2) We want to make our services accessible to all, including those whose circumstances make it difficult for them to get what they need from other services.

Any information you share with us here will be stored in our database, which only current Manchester Mind staff can access. Details you share here will be used by Manchester Mind to produce monitoring reports, as described above. Anonymised versions of these reports may be shared with current and prospective funders

We will not share your personal identifiable details with any other organisation.

For further details about how Manchester Mind uses your data please see our Privacy Statement

From time to time photo's may be taken at our events for use in Manchester Minds internal reports and external publicity. Please let us know if you are happy for your photo to be taken and used in this way.

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I am happy for Manchester Mind to take my photograph and use it in the manner described.

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What will happen with your information?

Any information provided on this form will be stored in Manchester Mind's password protected database and will be used for statistical purposes only.

Email	Website	Social Media	Word of Mouth
Poster	Campaign	Newspaper	Mind/other charity

Female	Male	Non-binary
Another/ prefer to self-describe	Prefer not to say

I have personal experience of mental health problems	I use / have used mental health services
I care or look after someone who has mental health problems	Any other (please specify if you wish)
None of the above	Prefer not to say