Maritime Mental Health Awareness Training Enquiry Form

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Your contact details

Contact First Name*

Contact Last Name*

Contact Position*

Contact Email*

Contact Phone Number*

Start the number with a plus sign and the country code, e.g. +44 for UK

Organisation Name*

Organisation Type

Address details:

Street Address

City

Postcode

Country*

Invoicing

Invoice contact details:

If the invoice needs to be sent to a different person to the main contact, please enter their details here.

First Name

Last Name

Position

Contact Phone Number

Start the number with a plus sign and the country code, e.g. +44 for UK

Your requirments

Please note that in-house trainings are for a minimum of 12 and maximum of 25 participants. For high numbers, we can accommodate multiple trainings and discounts may apply.

Which audience will the training be for?

Senior officers and/or shoreside staff

All crew and ratings

Wellbeing Champions

Mixed roles

Which modules are you interested in?

Module 1: Introduction to Mental Health, and Module 2: Recognising Signs and First Responses

Module 3: Suicide Prevention (participants must complete Modules 1 & 2 first)

Bespoke training (we will contact you to discuss further)

Total number of participants to be trained*

Preferred number of participants per training

Please enter a number from 12 to 25.

(We can accommodate a minimum of 12 and a maximum of 25 participants per session)

Nationalities

Training language

English

Tagalog

Mandarin

Preferred dates

Modules are 4.5 hours (including breaks) and held online across one or two days. These are usually consecutive but this is not essential and we can work to accommodate your schedule.

Date

Add another response

Date

If you are looking to schedule a training for as soon as possible, or you would like to discuss a bespoke training (including company-specific content, different durations, or in-person facilitation please let us know here and we will get back to you soon to discuss further

copy

If you would like to receive a copy of our MMHA Training Catalogue, which outlines training content and specifics in more detail, please tick here.

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Maritime Mental Health Awareness Training Enquiry Form