Soul Shop™ Training for Trainers Survey

Thank you for your interest in becoming a trainer for Soul Shop™.

Please be aware of several features of this training before filling out the application. This training is a 4 day training over 5 days, going from 6:00pm on day one to 1:00pm on day five (it either runs from Sunday - Thursday or from Monday - Friday). All trainers are required to attend the entire training.

Also, the training fee is $3,000 (starting on January 1, 2026) plus expenses, which includes a $1,000 deposit that is required in order to hold your space in the training. Submitting this application is an acknowledgment that you understand these requirements.

1.Which training program are you applying for?

Soul Shop for Leaders

Soul Shop for Black Churches

Soul Shop for Hispanic Churches

2.What is your first language?

English

Spanish

French

4.Address

Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

5.What is your DOB?(Required.)

6.What is your experience doing suicide prevention training? Certifications? Types of trainings? Number of trainings?

7.What is your faith/religious background? Religious/Theological Education? Paid or volunteer work in the church? Exposure to/familiarity with faith traditions other than your own?

8.What is your denominational/religious affiliation?

9.What is your experience cultivating/promoting/hosting events of any kind?

10.Why do you want to become a Soul Shop presenter?

11.On a scale from 0 to 100, how strong do you believe your facilitation/presentation skills are?

100

12.What are your strengths as a presenter?

13.What are your weaknesses as a presenter?

14.What do you believe you would bring to the Soul Shop team?

15.Do you speak any of the following languages fluently? Please check all that apply.

Spanish

French

English

Other (please specify)

16.Do you have an administrative assistant or support person that will help with Soul Shop-related tasks (ordering materials, submitting paperwork,monitoring emails)?(Required.)

Yes

17.If you chose YES, please provide their name, email address, and phone number so we may communicate with them as needed. If you chose NO then type N/A.(Required.)

18.Is there something you would like to share with the Soul Shop Team?

19.Please let us know how suicide has affected you:

20.Have you taken an A.S.I.S.T. - Applied Suicide Intervention Skills Training in the last 2 years?

Yes

21.If so, when did you attend the training?

22.If there is a cancellation for an earlier spot for the T4T, would you like to be notified of the availability?

Yes

23.Have you attended a Soul Shop™ workshop before?

Yes

24.How did you hear about Soul Shop™ or Soul Shop T4T?

26.Is there an organization sending you or working with to bring you to Soul Shop T4T?

27.Do you have allergies or dietary restriction you would like us to know about?

28.I understand that I will be required, within one year of my training, to do 3 full-day Soul Shop for Leaders trainings and then two each year that follows (including one at least every twelve months).(Required.)

Yes

29.Check which of the following apply:(Required.)

I acknowledge that a $1,000 non-refundable deposit is required to hold my spot in the training class and that the full fee for the training of $3,000 is due one month prior to the training.

I am being funded by a grant or other payee and therefore will not be responsible for the $1,000 deposit or the $3,000 fee.

30.If you are being funded by an outside entity, who are they?

The State of Ohio Suicide Prevention Grant

My American Foundation for Suicide Prevention (AFSP) Chapter

Not Applicable

Other (please specify)

31.Do you require any ADA accommodations to participate fully?

Yes

(please specify)

32.By checking this box, I understand that I have to be on time and present during the entire Training for Trainers to receive my certification as a privisional trainer.(Required.)

Yes

Please contact Michelle Snyder at Michelle@SoulShopMovement.org with any questions.