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) May 6,7,8,9, 9:00 am to 2:00pm - Virtual ** CLOSED July 21,22,23,25, 9:00 am to 3:00 pm - Virtual ** FULL August 21,22,23,25, 9:00 am to 3:00 pm - Virtual ** CLOSED September 19,20,21,23, 9:00 am to 3:00 pm - Virtual Request a Train the trainer course for your department Select a date(Required) June 8th, 9:00 am to 5:00 pm – Virtual / CLOSED June 15th, 9:00 am to 5:00 pm – Virtual / CLOSED June 22nd, 9:00 am to 5:00 pm – Virtual / CLOSED July 27th, 8 am – 4 pm – Virtual / CLOSED September 13th, 9:00 am to 5:00 pm – Virtual / FULL November 16th, 9:00 am – 5:00 pm – Virtual** Request a Resilient Minds Course for your department *Please note that due to funding requirements, preference for this course will be given to volunteer firefighters from composite or volunteer fire departments. Career firefighters who register will be place on a waiting list, and notified if spots are available upon close of registration.** 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 Other 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)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?HiddenSurvey 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.NameThis field is for validation purposes and should be left unchanged.
