Mental Health Awareness Training Form - Brookland Lakeview Empowerment Center

*if you are a teen interested in Mental First Aid Training, please DO NOT fill out this form. Please have a parent/guardian or and adult at your school, church, etc.. contact us directly at mentalhealth@brookland.cc.*

First Name *

Last Name *

Age *

18-30

31-45

46-59

60 or older

Gender *

Address *

City *

State *

Zip *

Email *

Cell or Mobile *

Job Title *

Select Course Type *

Adult Mental Health First Aid

Youth Mental Health First Aid

Select Course Date *

May 25 (9am to 3pm) | Training with South University

June 5 (9am to 4pm) | Training with Midlands Workforce Development Board

June 8 (8:30am to 5:30pm) | Training with Columbia Alumunae Chapter of Delta Sigma Theta Sorority, Inc.

June 22 (9am to 4pm) | Training with S.C. Witness Project

Select Course Date *