LIFE IS SACRED Suicide Prevention/Life Promotion Training Application

Application Form

YSAC's Life is Sacred program is a 1.5 day suicide prevention/life promotion training program designed for front line workers/helpers to better understand some of the underlying reasons around suicide. This training program will help front line workers/helpers identify and build protective factors and resources around those they work with to better support, protect and prevent suicide. This training program is also geared to build greater knowledge which significantly increases worker/helper confidence in the field of suicide prevention and life promotion.

Question Title

* 1. Who is requesting this training?

NNADAP/YSAC Treatment Centre

FN Community Based Detox/Stabilization Centre

First Nation Community/Organization

FN Child & Family Services

Non First Nation Organization (Note: Facilitation and Travel Costs may be Applicable)

Non First Nation Educational Institution (Note: Facilitation and Travel Costs may be Applicable)

Other (please specify)

Question Title

* 2. Name of Organization

Question Title

* 3. Contact Person requesting the Training:

Name

Address

Community/Town/City

Province

Postal Code

Email Address

Phone Number

Question Title

* 4. Preferred dates for the Training (2 consecutive days)

Date

Question Title

* 5. Location where the Training is to be held (Facility Name & Address)

Question Title

* 6. Approximately how many participants will be in attendance (25 maximum preferred)

Question Title

* 7. Has there been any suicide attempts in your community within the last 3 months?

Yes

Question Title

* 8. Has there been any recent deaths by suicide in your community in the last 3 months?

Yes

If yes, this training is not suggested until community crisis response teams have provided initial support. Please share with us what has been undertaken in the community?

Question Title

* 9. As parts of this training could be triggering, it is important that participants have Mental Health and/or Cultural Supports available to support them in working through their feelings. Who will be your Mental Health Support and/or Cultural Support Person(s) in Attendance (Name, Position)

Question Title

* 10. In the spirit of partnership and collaboration, YSAC provides this training for free (with some exceptions). Therefore, it is the expectation that the host will provide the following in-kind services for the Training:
a) The facility/space for the training
b) Mental Health and/or Cultural Supports for the participants
d) Interpreters for the participants if required
e) Lunch and snacks (am & pm) for the two days of training
Does your organization agree to do this?

Yes

Question Title

* 11. Does the training space have access to high speed internet?

Yes