Transformative Mental Health Core Curriculum (G Registration

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Welcome to the enrollment form for IDHA's Transformative Mental Health Core Curriculum! This form is specifically for groups and institutions. To access the forms for individuals, first determine if you would like to enroll in the higher access to wealth or lower access to wealth sliding scale.

Be sure to review the main curriculum landing page before proceeding. We anticipate this form may take 5-10 minutes to complete.

On the next page, you'll be prompted to input names and emails for all attendees, select your pricing tiers, and input payment information. Please note that in order to complete your group registration, all attendees must respond to a brief survey with more individualized registration information. This will go out in a follow-up email from the IDHA team!

If you have questions about this form or any other aspect of the Core Curriculum, please email core-curriculum@idha-nyc.org.

GROUP PRICING

SOLIDARITY ASSESSMENT

Choose the rate most aligned with your institution:

REDUCED

✓ Your institution's annual budget is under $600,000

✓ Your Board members are mostly low-income, and help fundraise with no required financial contribution

✓ Your institution has limited resources to support staff professional development

GENERAL

✓ Your institution's budget is between $600,000 - $6 million

✓ More than half of your Board members are high income, and regularly make financial contributions each year

✓ Your institution can regularly pay for staff to engage in professional development

SUPPORTER

✓ Your institution’s annual budget is more than $6 million

✓ our Board is mostly high income, and regularly make $1,000 or more of financial contributions per year

✓ Staff at your institution have a sizable professional development fund

CONTINUING EDUCATION CREDITS

20.75 Continuing Education (CE) credits are available for a supplemental cost of $100.

Click here to learn more about CE credits for the Core Curriculum and to determine license eligiblity. To purchase CE credits for an attendee within your group, check the option for 20.75 Continuing Education Credits (add-on) under "Event Session" header.

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Transformative Mental Health Core Curriculum (Groups)

Admission

Reduced

General

Supporter

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GENERAL INFORMATION

Number of registrants *

First name of primary contact *

Last name of primary contact *

Company or institution name

Email of primary contact *

City *

State *

Country

Include myself as an attendee

CURRICULUM INFORMATION

Tell us a little about how you found us, and which version of the curriculum your group would like to take. The options are:

1) Learning Experience (ENROLLMENT CURRENTLY CLOSED): Join a facilitated learning cohort and move through the experience together over the course of a 4-month period. New module content will be released on a bi-weekly basis, aligned with your cohort meeting schedule. Cohort members will gather for 9 facilitated virtual discussion groups to reflect on the content and deepen learning together.

2) Self-Paced: Receive on-demand access to all eight of the curriculum's modules at once. You will have the opportunity to work through the video lessons, discussion questions workbook, and other materials at your own pace and on your own timeline.

Which format of the curriculum is your group enrolling in?

Please share why you selected this format (optional)

If you selected Learning Experience, which cohort group would you like to join? (If you selected Self-Paced, put N/A)

Is your group taking the curriculum for CE credits?

How did you hear about the Core Curriculum?

Attended IDHA event or training

IDHA mailing list

Friend or colleague

Other listserv or email list

Through an allied organization

Social media

School or university

Web search

Elaborate on your choices above, or share a different way you found the Core Curriculum (optional)

Pronouns of primary contact (optional)

Did a particular person or organization refer you to the Core Curriculum?

Job Title

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Attendees' Company Name *

Attendee {{index+1}} Remove

First Name *

Last Name *

Event Admission *

Reduced - $299.00

General - $599.00

Supporter - $899.00

Event Session

20.75 Continuing Education Credits (add-on) - $100.00

Add Attendee

This event allows up to {{attendeeMaxCount}} attendee(s) per registration.

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✓ Your institution's annual budget is under $600,000 ✓ Your Board members are mostly low-income, and help fundraise with no required financial contribution ✓ Your institution has limited resources to support staff professional development

✓ Your institution's budget is between $600,000 - $6 million ✓ More than half of your Board members are high income, and regularly make financial contributions each year ✓ Your institution can regularly pay for staff to engage in professional development

✓ Your institution’s annual budget is more than $6 million ✓ our Board is mostly high income, and regularly make $1,000 or more of financial contributions per year ✓ Staff at your institution have a sizable professional development fund

Event: {{d.eventName}}

Discount Code

Order summary

✓ Your institution's annual budget is under $600,000

✓ Your Board members are mostly low-income, and help fundraise with no required financial contribution

✓ Your institution has limited resources to support staff professional development

✓ Your institution's budget is between $600,000 - $6 million

✓ More than half of your Board members are high income, and regularly make financial contributions each year

✓ Your institution can regularly pay for staff to engage in professional development

✓ Your institution’s annual budget is more than $6 million

✓ our Board is mostly high income, and regularly make $1,000 or more of financial contributions per year

✓ Staff at your institution have a sizable professional development fund