ASIST Online Registration Form

(Return one for EACH participant)

Upcoming 2018 Workshop

Date: September 13th anf 14th, 2018 (Thursday/Friday)

Location:  Covington, La

Time: This is a two-day workshop. Training begins both days at 8:30a.m. and ends at 4:30p.m.
A continental breakfast will be provided.
All registrations are due no later than 14 days before the start of each class.

Cost: Due to a generous donations of many, this class will be offered for a nominal registration fee of $50.00. Class size is limited to 30 participants.

CEU’s: Credit for 12.5 General CEU’s has been approved for from the NASW-LA Chapter.

Note: This is an educational program and is not intended in any way to provide therapy to anyone who has experienced a recent loss or who is themselves at risk for suicide. Appropriateness of training attendance is at the discretion of the ASIST trainers.

Facilitators: Becky Roniger, Gloria Solórzano and Ronald Halstead

Online payment can be made thru PayPal by clicking on the "Donate" button on the bottom of the home page of the STOPS website.  Please indicate "Sept ASIST"in the special instructions section when paying online.  An email confirmation will be sent when registration is received.


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