Soul Shop™ Training for Trainers

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 $2,500 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.

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* 1. Which training program are you applying for?

Soul Shop for Leaders

Soul Shop for Black Churches

Soul Shop for Hispanic Churches

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* 2. What Training for Trainers (T4T) session are you applying for?

April 28 - May 2, 2024 - Soul Shop for Leaders - Little Rock, AR

May 13 - 17, 2024 - Soul Shop for Black Churches - Ashville, NC

Oct. 27 - 31, 2024 - Closed training for Solihten Institute - Location TBA

Nov. 11-15, 2024 - Soul Shop for Black Churches - Pittsburgh, PA

May 12-16, 2025 - Soul Shop for Hispanic Churches - Location TBA

Next available date

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* 3. Address

Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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

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* 5. 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?

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* 6. What is your denominational/religious affiliation?

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

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

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

100

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 10. What are your strengths as a presenter?

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* 11. What are your weaknesses as a presenter?

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

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

Spanish

French

English

Other (please specify)

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

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* 15. Please let us know how suicide has affected you:

Loss of a Parent

Loss of a Spouse

Loss of a Child

Loss of a Sibling

Loss of a Relative, Friend or Associate

Personal Struggle or Attempt

Supporting someone who Struggles or had an Attempt

Support Suicide Prevention

Prefer not to Disclose

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

Yes

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* 17. If so, when did you attend the training?

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

Yes

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* 19. Have you attended a Soul Shop™ workshop before?

Yes

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

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* 21. What is your t-shirt size?

Small

Medium

Large

X - Large

XX- Large

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

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* 23. Do you have alergeries or dietary restriction you would like us to know about?

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* 24. 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.

Yes

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* 25. By checking yes below, I am acknowledging 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 $2,500 is due one month prior to the training.

Yes

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