Register for Bridging the Gap in Mental Health 24-hour course Name * First Name Last Name Email * Phone * (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country Languages you speak * I am 18 years old or older * Yes No Select the class you would like to attend * January 25-27 (9-5 MST) April (Dates TBA) I have a high school diploma or equivalent * Yes No Bilingual fluency * I have proof of bilingual fluency I need to take an assessment I have completed the 40 hour BTG course * Yes No Thank you for your form submission. We will be in touch shortly with next steps.