Center for Learning
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TRAINING NOTIFICATION FORM
TRAINER: Please fill out and submit this form to the address below no later than 30 days from the start of an MHSS training course. Thank you.
Trainer(s’) Name(s): _______________________________________________________
Dates of Training: _______________________________________________________
Time(s): _______________________________________________________________
Location of the Training: ________________________________________________
________________________________________________
Phone Number: ___________________ Email: ______________________________
Class Size Limit: ________________________________________________________
Upon completing this form, please submit it to:
Scott Bernier
USM Muskie School
The Center for Learning
12 East Chestnut St.
Augusta, ME 04330
Fax: (207) 626-5022
Email: sbernier@maine.edu
Mental Health Support Specialist (MHSS) Curriculum
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