Mental Health First Aid Training Request Form for Parish and Individual- Diocese of Phoenix

If you would like to request Mental Health First Aid Training, below are points to consider:

The class requires minimal computer skills to register, fill out a pre- and post-evaluation form, and take a quiz on line.
The on-site class lasts 10.00 hours. The class can be completed in 2 half-days. Participants must be present for the entire duration. If you leave during the training, you can reenroll in another class in the near future to obtain credit.
We ask that you bring your lunch; a break will be provided.
While this is a secular course, we also share the resources and support that the Diocese of Phoenix Office of Mental Health Ministry offers to both the broader community and our parishes in light of this important training
The class size will be a minimum of 5 and a maximum of 30 participants. The Diocesan Pastoral Center (DPC) will also host a monthly class. If the parish or DPC does not have enough participants, participants will be invited from other parishes to attend, as well as the community at large to reach the maximum number. All who want to be a part of improving mental health issues in the community are welcome.
The course is free (a value of $179.00). The manual and guide a value of $29.00 are also free. Our certified trainers volunteer their time. However, if you would like to make a donation to cover the cost of the manual and guide or would like to make a donation of any amount we have a link and QR Code that will be provided. You can also donate via checks, credit card or cash. You can donate as you complete the MHFA online registration process or on the first day. For cash and checks, the instructor will collect the money or checks on the first day.
Hospitality. The course will require a break for lunch or dinner depending on time of day this training will be provided. You will be notified if the parish is providing food. However, feel free to bring your own snacks and drink.
Once confirmation from parish or DPC has been attained, the instructor will contact participants via email to register for the class.
As part of the registration process, you are required to complete a 20-minute pre-work assignment. Both your registration and pre-work must be completed two weeks before the start date.

We now require a minimum of 11 participants with completed pre-work by the deadline. If this requirement is not met, the class will be canceled.

Please note: Our instructors are volunteers, and we need to provide them with advance notice if the class will not move forward due to low participation. Timely registration and pre-work completion are essential to ensure we respect their time and commitment.

We look forward to receiving your response! If you are an individual, please fill out the top portion of the page. If you are requesting training for your parish, please fill out the bottom part of form. Thank you!

SIGN UP BELOW (when you click below the request form will open up and provide you with training date options to select from)

I AM REGISTERING AS:*

an individuala parish

Name*

First NameLast Name

Email Address*

example@example.com

Phone Number*

Please enter a valid phone number. If you work for a parish, please include your personal cell number.

Parish/Organization Name *

Parish/Organization Address (optional)

I understand this class requires pre-work to complete before the start of class.*

Yes, I will complete the 20-minute pre-work, 2 weeks before the start of class to ensure a seat in this training.No, I am not available to complete the pre-work. Please withdraw my request for this class so that someone on the waiting list can take my place.

I would like to attend one of the following classes.*

Thursday and Friday 9:00 a.m. - 2:00 p.m., November 13 and November 14, 2025 at the Diocesan Pastoral Center at 400 E. Monroe Street, Phoenix, AZ 85004. Registration closes at 12:00 noon on October 31, 2026.Thursday and Friday 9:00 a.m. - 2:00 p.m., December 4 and December 5, 2025 at the Diocesan Pastoral Center at 400 E. Monroe Street, Phoenix, AZ 85004. Registration closes at noon on November 21, 2025Thursday and Friday 9:00 a.m. - 2:00 p.m., January 29 and January 30, 2026, at the Diocesan Pastoral Center at 400 E. Monroe Street, Phoenix, AZ 85004.Registration closes at noon on January 16,2026.Wednesday and Thursday, 9:00 a.m. - 2:00 p.m., February 4th and 5th, St. John Vianney, Sedona, AZ Registration closes on January 21, 2026.Saturday, June 13 and June 20, 9:00 a.m. - 2:00 p.m. Diocesan Pastoral Center at 400 E. Monroe Street, Phoenix, AZ 85004.Registration closes at noon, May 27, 2025Thursday and Friday, 9:00 a.m. - 2:00 p.m., December 10 and December 11, 9:00 a.m. - 2:00 p.m. Diocesan Pastoral Center at 400 E. Monroe Street, Phoenix, AZ 85004. Registration closes at noon on November 27, 2025

Name*

First NameLast Name

Email Address*

example@example.com

Phone Number*

Please enter a valid phone number.

Point of Contact for Parish - to set up class training*

First NameLast Name

Email Address*

example@example.com

Phone Number*

Please enter a valid phone number.

My parish would like to host MHFA Training.

We'd like to discuss possible dates and times with the Mental Health Ministry Department. Please call.We are looking at the possibility for training at our parish. Please call to review our optionsI see below that you have classes already posted and available at the DPC. We prefer to send our team to attend one of these classes.

We would like to review the options below and see if one of these options may be a better option for our team.*

Thursday and Friday 9:00 a.m. - 2:00, October 23 and October 24, 2025 at the Diocesan Pastoral Center at 400 E. Monroe Street, Phoenix, AZ 85004. Registration closes at 12:00 noon on October 10, 2026.Thursday and Friday 9:00 a.m. - 2:00, November 13 and November 14, 2025 at the Diocesan Pastoral Center at 400 E. Monroe Street, Phoenix, AZ 85004. Registration closes at 12:00 noon on October 31, 2026.Thursday and Friday 9:00 a.m. - 2:00, December 4 and December 5, 2025 at the Diocesan Pastoral Center at 400 E. Monroe Street, Phoenix, AZ 85004. Registration closes at noon on November 21, 2025We will discuss with our team and invite each parishioner/member to apply as an individual.

Me gustaría asistir en la siguiente fecha. Por favor, revise cuidadosamente la ubicación, fechas y horarios, y seleccione una opción. Nota: La inscripción y el trabajo previo deben completarse al menos dos semanas antes de la fecha de inicio, para que nuestros instructores voluntarios tengan aviso anticipado si la clase no se llevará a cabo por baja participación. Número mínimo de participantes por clase: 15.*

Viernes, 6 de febrero de 2026 4:30 p.m. -8:30 p.m. y Sabado 7 de febrero de 2026 9:00 p.m. - 3:00 pm. St. Anne, 440 E Elliot, Gilbert, AZ 85324. La asistencia completa ambos días es obligatoria para recibir el certificado. Inscripcion cierra el 23 de enero.Viernes, 28 de agosto de 2026, 4:30 p.m. - 8:30 p.m. y Sabado, 29 de agosto de 2026 9:00 a.m. - 3:00 p.m. Centro Pastoral Diocesano, 400 E. Monroe, Phoenix, AZ; La asistencia completa ambos días es obligatoria para recibir el certificado. Inscripción cierra el 8 de agosto.

I f you decide to host at your parish, please provide address and room number where MHFA training will take place in your parish.

The class size will be 30. How many participants do you have from your parish? Note: If less than 30, an advertisement will go out to other parishes and community at large to fill the class,-a minimum of 15 participants.

Is your parish willing to provide hospitality services for this training (i.e. Coffee, snacks or breakfast and lunch/dinner)?

How did you find out about this course? *

Upon receipt of this form, the Mental Health Ministry will forward your information to the instructor.

The instructor will then contact you to complete the required pre-work assignment. Both your registration and pre-work must be completed at least two weeks prior to the class start date.

Please note: If we do not meet the minimum requirement of 11 participants who have completed the pre-work by that deadline, the class will be canceled.

Questions?
Email: lassad@dphx.org
Phone: 602.354.2115
Lety Beltran Assad

Mental Health First Aid Training Request Form for Individual or Parish