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CCF User Agreement for SOS Signs of Suicide 2023-2024

Connor's Climb Foundation (CCF) is dedicated to preventing youth suicide by educating teens about the warning signs of mental illness or emotional distress.  As a result of generous donations, CCF is able to provide the SOS Signs of Suicide prevention programs for Middle and High Schools to the community at no charge. 

As a recipient of this sponsored program, you agree to the following:

1.I WILL:
  • Identify a key staff person(s) to lead this project at our school.
  • Implement the SOS program with at least one grade level within one year of receiving it.
  • Complete the program evaluation form within 30 days of receipt.  (Data collected does not reflect student information; rather, it provides quantitative data regarding student demographics and numbers/percentages of students seeking help as well as qualitative feedback for SMH on program successes and challenges.)
(Required.)
2.First Name
3.Last Name
4.Email Address
5.Phone
6.Title/Role
7.School/Organization
8.School Address
9.SOS Program(s) to be implemented:
10.Expected SOS Implementation Date:
Date
11.Approximate number of students who will receive the program: