Private Training Request Form Private Training Request Form Private Training Request FormFirst NameLast NameEmailPhone NumberOrganization / GroupCounty/Counties where you are located: Clackamas County Multnomah County Washington County Other CountyWhat type of training do you want to take? Question, Persuade, Refer (QPR) - 2-3 hours Youth Mental Health First Aid (YMHFA) - 8 hours Adult Mental Health First Aid (AMHFA) - 8 hours Applied Suicide Intervention Skills Training (ASIST) - 2 days OtherWhat language would you want the training delivered in? English Spanish OtherNumber of participants:Setting Virtual In-Person No preferenceWhere would you like the training to take place?Do you request a specific cultural emphasis for training delivery? (Optional) Yes NoPlease select your specific cultural preference: Latinx Military Servicemember / Veteran Older Adult Firearm Owner Youth Under 18 YearsAre there any types of trainings, languages offered, or cultural preferences that you would like to take, but that are not listed here?Submit Form