TEST RM form JULY FORM RM - TTT and RMC ECO July2024 Select Course(Required)Resilient Minds Course (RMC)Train the Trainer Course (TTT)Resilient Minds Course – Emergency Communications Operator (ECO)Select a date(Required) Request a Train the trainer course for your department Select a date(Required) February 15th, 2025, 8:30 am – 4:30 pm – Virtual ($235.00 – registrants will be contacted for payment) Request a Resilient Minds Course for your department November 16th, 9:00 am – 5:00 pm – Virtual** CLOSED December 7th, 8:30 am – 4;30 pm – Virtual** FULL** Please note this course is only available to firefighters who work in a TC Energy Community. A list of eligible communities can be found here.Select a date(Required) Resilient Minds Course – Emergency Communications Operator: October 28-29 course (11 am to 4 pm EST) TC Energy Community ** FULL Request a Resilient Minds ECO Course for your organization Join the waitlist and receive notifications for upcoming courses ** Please note this course is only available to ECOs who work in a TC Energy Community. A list of eligible communities can be found here.Name(Required) First Last PhoneEmail(Required) Fire Department(Required) Fire Department Other Organization(Required) Fire Department Police Service EMS Other emergency response agency/team (Please specify below) Name of Fire Hall(Required)Other(Required)Position/Title(Required)Mailing Address(Required) Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Participants you are registering(Required) Myself Participants: List all participants (name and email) Will provide complete list later *for closed dates, a minimum number of 12 participants is requiredParticipants you are registering(Required) Myself Participants: List all participants (name and email) Will provide complete list later *for closed dates a minimum number of 15 participants is requiredParticipants you are registering(Required) Myself Participants: List all participants (name and email) Will provide complete list later *for closed dates a minimum number of 15 participants is requiredList all participant(s): name and email(Required)Full NameEmail Address Add RemoveDo participants have experience in adult education and/or training with instruction? Not much A little Some Quite a bit A lot Do participants have a general understanding of mental health and/or trauma? Not much A little Some Quite a bit A lot Have participants been involved with a Critical Incident Stress Management/Peer Support Team? Yes No How did you hear about the Resilient Minds program? Conference/Event Newsletter Social media Website Word of mouth Other OtherFor invoice purposes:Organization Name(Required)Contact(Required)Address(Required) Street Address Address Line 2 City Province Postal Code Phone(Required)Number of participants (Invoice)(Required)For invoice purposes:Organization Name(Required)Contact(Required)Address(Required) Street Address Address Line 2 City Province Postal Code Phone(Required)Number of participants (Invoice)(Required)Anything else we should know?This field is hidden when viewing the formSurvey participation(Required) By accessing this special price, I agree to participate in all pre and post workshop surveys. I understand participation in surveys are mandatory and anonymous.*CMHA has the right to cancel seven business days before the start date of the workshop. As such, participants can re-register or receive credit for their seat. Full refunds can be provided if cancelled thereafter.PhoneThis field is for validation purposes and should be left unchanged.
