Thank you for registering for the two-day Signs of Suicide train the trainer workshop! We're excited to work with you to expand your suicide prevention efforts. Please complete this brief survey to provide us with a little more information about you. 

If you have any questions, please don't hesitate to reach out to SOS Program Coodrinator, Erin Lerch, at elerch@mindwise.org.

Question Title

* 1. First Name:

Question Title

* 2. Last Name:

Question Title

* 3. Title/Position:

Question Title

* 4. Organization:

Question Title

* 5. Address:

Question Title

* 6. City/Town:

Question Title

* 7. Zip Code:

Question Title

* 8. Email:

Question Title

* 9. Phone Number:

Question Title

* 10. Please share with us if you have used the Signs of Suicide program in any capacity prior to this training (i.e. implemented SOS with students, trained adults in SOS, presented at a conference, etc.).

Question Title

* 11. Please share with us why you are interested in becoming a Signs of Suicide certified trainer

Question Title

* 12. I understand that once certified, I will be required to host at least 1 training in the first year of certification and I agree to this requirement. 

Question Title

* 13. I understand that once certified, I will be required to schedule a Trainer Support call with the SOS Team within a month after the training and I agree to this requirement.

T