contact us
Search for:
Donate
Support
Services
Support Groups
Phone/Email Support
Resources
Newsletter
Articles
Bookstore
Other Resources
Personal Stories
About Us
Our History
Board & Leadership
Personal Stories
News
Partners
Contact Us
Press & Media
Get Involved
Donate
Virtual Quilt
Volunteer
SOSL’s 7th Annual Ride for Life & After Party
Walk in Remembrance with Hope
Speakers
Core Speakers
Suicide Prevention Trainings
Suicide Postvention Presentations – Support After a Suicide
Additional Presentations
Telling Their Story
Home
/
Suicide Prevention Training Form
Suicide Prevention Training Form
Your Name
*
First
Last
Best Email
*
Best Phone
*
Presentation Requested
*
QPR – Question, Persuade, Refer Suicide Prevention Training
The 3-ventions of Suicide Prevention – Prevention, Intervention, Postvention
Suicide Prevention for Students (Middle School through University)
Choose one please. If both are to be requested, please fill out again for the second or third one (they have different destinations and are likely different days or times).
The Audience and Number Expected
*
Please tell us about the expected audience. Also, approximately how many do you expect? (30 characters)
Location of the Presentation
*
Street Address
Address Line 2
City
ZIP Code
Date Requesting
*
DD slash MM slash YYYY
Second-Choice Date
MM slash DD slash YYYY
Third-Choice Date
MM slash DD slash YYYY
Time Requesting
*
:
Hours
Minutes
AM
PM
AM/PM
Time Requesting - 2nd Choice
:
Hours
Minutes
AM
PM
AM/PM
Time Requesting - 3rd Choice
:
Hours
Minutes
AM
PM
AM/PM
Data collection consent (required)
*
I consent to my submitted data being collected and stored
Comments
This field is for validation purposes and should be left unchanged.
Δ
Ways to Get Involved
News
Cheryl’s Story
by Allison Sampite Unanswered messages: May 9, 2016. It was a Monday and the day after Mother’s Day. It was also the day Sean Petro would have begun his fourth year as a medical student at
Read More »
Sign Up
to receive SOSL news & updates