Requests for training are now open! Requests will be accepted until 02/28/25 at 11:59PM

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Requests for training are now open! Requests will be accepted until 02/28/25 at 11:59PM 〰️

Training Funding Application

We want to help you better yourself, your community and agency. Complete this form and we will review it to see if we can help you with the finances to attend your desired training.

You must be an active first responder to be considered for funding.

It is strongly recommended to complete this on a desktop and not a mobile device.

Name

First Name

Last Name

Department Email

Phone

(###)

###

####

State of residency

Where do you currently reside? Note: Only residents within the USA are eligible for training assistance.

Agency you are affiliated with

What public safety agency do you currently work for?

Title within agency

What is your official job title? (I.e. Deputy, EMT, Firefighter, etc...)

Supervisor email

The supervisors email must be a official department email.

Supervisor phone number

This is not required, however, it may speed up the verification process if you provide it.

(###)

###

####

Course name

What is the name of the course you wish to attend?

Company/Agency teaching the course

Please put the exact name of the company/agency that is teaching the requested course.

Description of the course you are requesting to attend

You can copy + paste the course description if you wish. Please just be as detailed as possible if you choose to type it yourself.

Total requested for training

Please note: We do not cover travel expenses, lodging or food. Only the expense of the class.

$

How will this benefit you, your community and agency?

Please ensure to paint the full picture for us, we want to make sure we understand the positive impact that this will provide to you and everyone else around you. This is a pivotal question to determine funding.

Acceptance of First Response Wellness Foundation policies and procedures

By clicking this checkbox and submitting this form, you affirm that you have read and understand the policies surrounding funding of mental health/training by the First Response Wellness Foundation. You can view the organizations policies under "Public Documents" and select "Funding Request Information".

I understand and accept the terms and conditions of the First Response Wellness Foundation.