Suicide Awareness Prevention Course

Suicide Awareness and Prevention

class registration
This is a 6-week course that will provide you with a Suicide Awareness and Prevention certification as well as 3 CEUs and 1 3-hour college transfer credit at Aidan University which is valued at $360.00/person.

All information must be completed in full and payment received in order for the application to be considered complete.

This class is presented via teleconference. A phone number will be provided to you to call in for participation upon registration and payment. A recording of each class will be provided for your review after each session.

Payment is $179/person or $255/married couple. Payment must be received via LifeChangingU.com online prior to the start of the course. Your written materials will be sent out to you once payment is received.
Registration Date *

Month Day Year
Date
Full Name *

Prefix First Name Middle Name Last Name
Maiden name
Enter your name exactly as you want it to appear on your certification *
Email *
example@example.com
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Home Phone Number

Area Code Phone Number
Cell Phone Number

Area Code Phone Number
Work Phone Number

Area Code Phone Number
Date of birth *

Month Day Year
Date
Last four digits of social security number
Have you ever served active duty in the Armed Forces, the Reserves or the National Guard during wartime or during any conflict when military personnel were commissioned by the President?

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Are you a:

Chaplain Minister Pastoral Counselor Pastor Counselor
Are you:

Ordained Licensed
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Did anyone refer you? if so, who?
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Click the link below to pay your registration. (The link will open in a new tab.)

Payment is $179/person or $255/married couple.

A phone number will be provided to you for call in upon payment.
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Suicide Awareness and Prevention