ShireburnStandard Mental Health First Aid Course Date & Time Session 1: Wednesday 3rd December from 8:15am till 3:15pm Session 2: Tuesday 9th December from 8:15am till 3:15pm Location Shireburn Academy at Skyparks (View Map Below) Register Here NAME AND SURNAME:*I.D. NO:*DATE OF BIRTH:* Day Month Year PERSONAL ADDRESS:* Street Address Address Line 2 City ZIP / Postal Code EMAIL ADDRESS:* TELEPHONE:MOBILE:*GENDER (As per ID card):* Male Female RESIDENCE (As per ID card):* Malta Gozo Nationality*EMPLOYMENT STATUS:* Employed Self-Employed Unemployed Inactive Inactive, not in education or training Employed [Persons should be working on a part-time or full-time, or on reduced hours. Persons in “subsidised” employment should also be considered as employed. Persons currently on maternity leave should also be considered as employed.] ; Unemployed (Persons should be registered with Jobs Plus); Inactive are those persons who are neither in employment nor are they registered unemployed. Full-time students are also considered as inactive; Inactive not in education or training are those persons who are not in employment, registering for work, and/or in education or training.NAME OF ORGANISATION:*PROFESSION:*EDUCATIONAL BACKGROUND:* Level 4 Diploma Level 5 Diploma Level 6 Degree Level 7 Masters Level 8 PhD Preferred Payment Method*Online PaymentInvoiceINVOICE DETAILS:If sending an invoice is the preferred payment method kindly provide the invoice details.Terms and Conditions* I have read and accept the terms & conditions including the data handling policy 1. Data given with the registration form will be processed in accordance with the Data Protection Act 2001 and the General Data Protection Act. 2. Certificates will only be given to those participants who attend the 12 hours of training. 3. All materials used in this training course, including the MHFA manual which course participants will receive after the course, are copyright of Richmond Foundation. None of the materials, nor any part of the MHFA manual, may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, without prior, written permission of Richmond Foundation. Back to Upcoming Courses