If yes, please provide the name and contact information. Name: Email: Phone number: Does your organization have an ☐Yes active community/public ☐No education program? How did you find out about the email ☐Employer instructor training program? requirement ☐Employer relationship ☐Professional relationship ☐Personal search ☐Internet USA Website ☐MHFA Instructor ☐MHFA attended 8 hour course ☐Have please specify: ☐Other, Part II: Applicant Experience and Qualifications Please note that each response will be scored. You are encouraged to provide as much detail as word limit permits. 1. Why do you want to become an instructor? (max 200 words) 2. Please provide a description of your personal and/or professional experiences in the field of mental health that qualify you to teach a Mental Health First Aid course (i.e. clinical experience, personal or family history, social service experience, etc.). Please provide time frames for any relevant experience. (max 300 words) 3. Please provide a description of your experiences in adult instruction that would qualify you as a strong candidate to be an effective Mental Health First Aid instructor (i.e. group facilitation, teaching, etc.). Please provide time frames for any relevant experience. (max 300 words) 4. Have you taken a Mental Health First Aid course? ☐Yes ☐No If yes, when did you take the course (mm/yy): 5. What other skills or experiences do you have that you believe will support your success as a Mental Health First Aid instructor? (max 200 words) Part III: Understanding of Program 6. What does the term health” mean to you? (max 200 words) “mental 7. What factors do you believe create and maintain the stigma associated with individuals who have mental health problems? (max 150 words) 8. What are the key messages of Mental Health First Aid? (max 200 words) 9. What do you believe are the skills and attitudes needed to be an effective Mental Health First Aid instructor? (max 150 words)
If yes, please provide the name and contact information. Name: Email: Phone number: Does your organization have an active community/public education program? ☐Yes ☐No How did you find out about the instructor training program? ☐Employer email ☐Employer requirement ☐Professional relationship ☐Personal relationship ☐Internet search ☐MHFA USA Website ☐MHFA Instructor ☐Have attended 8 hour course ☐Other, please specify: Part II: Applicant Experience and Qualifications Please note that each response will be scored. You are encouraged to provide as much detail as word limit permits. 1. Why do you want to become an instructor? (max 200 words) 2. Please provide a description of your personal and/or professional experiences in the field of mental health that qualify you to teach a Mental Health First Aid course (i.e. clinical experience, personal or family history, social service experience, etc.). Please provide time frames for any relevant experience. (max 300 words) 3. Please provide a description of your experiences in adult instruction that would qualify you as a strong candidate to be an effective Mental Health First Aid instructor (i.e. group facilitation, teaching, etc.). Please provide time frames for any relevant experience. (max 300 words) 4. Have you taken a Mental Health First Aid course? ☐Yes ☐No If yes, when did you take the course (mm/yy): 5. What other skills or experiences do you have that you believe will support your success as a Mental Health First Aid instructor? (max 200 words) Part III: Understanding of Program 6. What does the term “mental health” mean to you? (max 200 words) 7. What factors do you believe create and maintain the stigma associated with individuals who have mental health problems? (max 150 words) 8. What are the key messages of Mental Health First Aid? (max 200 words) 9. What do you believe are the skills and attitudes needed to be an effective Mental Health First Aid instructor? (max 150 words)