MHAT QPR Registration

What is your first and last name?*

Which training will you be attending?*

5/6/25 - Crisis QPR Training

Who is your employer?*

If unemployed or retired, write "None".

Are you a Veteran or a family member of a Veteran?*

Veteran

Family Member of a Veteran

Not a Veteran

What is your primary or work phone number?*

Phone

What is your primary or work e-mail address?*

Thank you for completing your QPR registration!

If you have yet to complete your pre-test, please head to bit.ly/qprpretest after finishing your registration.

Send me a copy of my responses