Health and Wellness Interest Form Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. – Step 1 of 2We are excited to connect with you about your interest. If you are interested in receiving mental health services through our partnership with BetterHelp, please follow this link> Please email info@byeinstitute.org if you have any questions or require assistance with this form. What services or training or you interested in? *Mental Health First Aid Certification (Adults or Guardians Only)Teen Mental Health First Aid Certification (Youth Only)First Aid CertificationPREP Education ProgramYouth Peer Support GroupPlease tell us more what you are looking for: *Parent requesting information or training for selfParent requesting information or training for youthYouth requesting information or training for selfPlease list areas of support you are interested in *Tell Us More About Your ChildName *FirstLastAge Grade/Year in SchoolEmail *Phone Number *Tell Us More About YouName *FirstLastAgeGrade/Year in SchoolEmail *Phone Number *How did you learn about us? *FriendColleagueParentTeacherSchool Guidance CounselorSchool Resource CoordinatorPrincipal or Assistance PrincipalOther Youth OrganizationGoogleSocial MediaOtherPlease tell us how you learned about us. *NextUpdating preview…This is a preview of your submission. It has not been submitted yet! Please take a moment to verify your information. You can also go back to make changes.PreviousSubmit
