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* 1. What is your first and last name?

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* 2. What organization will you be training for?

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* 3. Do you have experience training?

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* 4. When was the last time you trained?

Date

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* 5. Please describe your training experience?

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* 6. Has your training experience included training for peer recovery supports?  

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* 7. When was the last time you trained for peer recovery support related topics or training?

Date

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* 8. Do you agree to abide by all agreements in terms of registering classes and abiding by requrements and copyright requirements for manuals training materials and future trainings?

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* 9. Please describe how you plan to use this training of trainer for this curriculum in the future?

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* 10. Would you be willing to invest at least one additional day to assist in training at least one future class with SOS as part of the TOT requirement?

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* 11. Please describe why you'd be a good fit to be a trainer of SOS Suicide Prevention for Peer recovery Coaches?

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* 12. What is your telephone number

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* 13. What is your email?

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