I am interested in becoming a trainer

T4T workshop

Question Title

* 1. Contact information

Name

School/ organization

Your title/role

State/Province

County

Email Address

Phone Number

Question Title

* 2. Which T4T are you interested in? Check all that apply.

SafeTalk

ASIST

Question Title

* 3. If interested in SafeTalk, let us know if you've taken an ASIST training course

Yes

I have an ASIST scheduled for a future date (Enter date)

Question Title

* 4. Do you have agency and/or supervisory support to become a trainer and meet any trainer expectations (min. number of annual trainings to remain certified, etc.)?

Yes

N/A

Question Title

* 5. What, if any, coalitions are you connected to?

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* 6. Have you ever had training on suicide prevention, intervention or postvention practices?

Yes

Question Title

* 7. How many people would you estimate are in your "professional reach" as a trainer?

0-30

30-60

60-100

100+

I don't know

Other (please specify)

Question Title

* 8. Which of the following choices below best represents how often you conduct training or present in any capacity?

Several times a week

Once every 2 weeks

Several times a month

Once every couple of months

Several times a year

I do not currently provide training/presentations

Other (please specify)

Question Title

* 9. Do you have any specific knowledge or experience that you bring to the table you want us to know about?

Question Title

* 10. What audience(s) do you generally have access to?

Mental health professionals

Health professionals

Teachers and school staff (K-12)

University/College campus staff

Youth (middle/high school)

Youth (college/university)

Various youth service providers (community center staff, youth group leaders, etc.)

Other (please specify)

Question Title

* 11. What is your biggest strength as a trainer?

Question Title

* 12. What is your biggest opportunity for growth as a trainer?

Question Title

* 13. How often do you anticipate being able to provide a training?

1-3 times per year

3-5 times per year

5+ times per year

Question Title

* 14. When I become a trainer, I will have the ability to train outside of my... (check all the apply)

Agency

County

Neither

I am interested in becoming a trainer

T4T workshop

Question Title

* 1. Contact information

Question Title

* 2. Which T4T are you interested in? Check all that apply.

Question Title

* 3. If interested in SafeTalk, let us know if you've taken an ASIST training course

Question Title

* 4. Do you have agency and/or supervisory support to become a trainer and meet any trainer expectations (min. number of annual trainings to remain certified, etc.)?

Question Title

* 5. What, if any, coalitions are you connected to?

Question Title

* 6. Have you ever had training on suicide prevention, intervention or postvention practices?

Question Title

* 7. How many people would you estimate are in your "professional reach" as a trainer?

Question Title

* 8. Which of the following choices below best represents how often you conduct training or present in any capacity?

Question Title

* 9. Do you have any specific knowledge or experience that you bring to the table you want us to know about?

Question Title

* 10. What audience(s) do you generally have access to?

Question Title

* 11. What is your biggest strength as a trainer?

Question Title

* 12. What is your biggest opportunity for growth as a trainer?

Question Title

* 13. How often do you anticipate being able to provide a training?

Question Title

* 14. When I become a trainer, I will have the ability to train outside of my... (check all the apply)

Question Title

* 15. Any other information you would like to share?