safeTALK Online Registration Form

(Return one for EACH participant)

Upcoming Spring 2019 Workshop:

March 12, 2019 
   
Suicide Alertness for Everyone (safeTALK) prepares community members to be suicide alert helpers in only a few hours.  Participants can take a vital step in linking those who experience suicidal ideation with caring community members who are trained in suicide intervention skills.  Those who take the training will learn about the "TALK" steps: Tell, Ask, Listen and Keep Safe and how to apply those steps when someone is at risk.  

CEU’s: Credit for 2.5 (General) CEU’s has been approved by the NASW-LA Chapter. No partial credit is available.

Online registration can be made here and payment can be made via PayPal.  Just click on the donate button at the bottom of the STOPS homepage to submit your payment. The cost of the training is $35.00.  Please indicate "safetalk" in the purpose section when paying online. You will receive an email confirmation when your registration and payment are received.  

 
Online Registration: 

Name & Title (if applicable)
Organization
Address
City
State
Zip Code
Telephone
Email