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Training Request Form

Training Request Form

Name *

Organization

Email *

Phone Number *

Training Topic *

Number of individuals to be trained *

Date Requested *

This is only a request and does not guarantee this date.

Training Format *

If in person, can you or your organization host the training?

What amenities will your facility include?

Tables & chairs

TV or projector

Speakers or sound capability

Whiteboard or easel

If you have fewer than 30 individuals, may we open this training up to the public?

How did you hear about our trainings? *

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CONTACT INFORMATION

Mental Health America
of Northeast Indiana
3201 Stellhorn Rd, Suite C101
Fort Wayne, IN 46815
(260) 422-6441
Disclaimer

Disclaimer

Mental Health America of Northeast Indiana is a non-profit organization that provides information on mental health resources and educational programs. This website does not provide medical advice and is not intended to be a substitute for professional advice, diagnosis, or treatment. For an accurate diagnosis of a mental health disorder, you should seek an evaluation from a qualified mental health professional. If you feel you're experiencing a potentially life-threatening problem, please call 9-1-1 or the Suicide Prevention Lifeline at 1-800-273-TALK(8255).

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Diversity Policy

Mental Health America of Northeast Indiana, Inc. values, supports, and respects the diversity of our community. As representatives of the organization, the Board of Directors and staff members will act in ways that protect the dignity, worth, and uniqueness of every person. The organization is committed fostering diversity and inclusiveness. MHANI will invest and promote participation in programs that are designed to support a diverse population.

The following policy has been adopted:

All persons seeking services or employment will not be denied access based upon gender, gender identity/expression, race, color, religious creed, marital status, age, national origin or ancestry, physical disability, mental disability, medical condition, Vietnam-Era or disabled military service, sexual orientation or any other basis protected by federal and state law. (Title VI-Title VII Of The Civil Rights Act Of 1964)

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