QPR Sign-Up Form

QPR stands for Question, Persuade, and Refer — the 3 simple steps anyone can learn to help save a life from suicide. This program aims to equip participants with the skills to recognize signs of crisis, respond to someone in crisis, and how to get help and save a life.

This program is being paid for by the Fraternity, so registration is free of cost to collegiate brothers. Once you register through this form, you will receive an email with your unique login information and instructions on how to access the QPR portal.

First NAME:*

Last NAME:*

EMAIL ADDRESS:*

The same email you signed up with for The SAE Portal

UNIVERSITY:*

Where do you attend school?

CHAPTER DESIGNATION:*

Format: State, Greek Letter

If you HOLD A POSITION IN YOUR CHAPTER, which one?

QPR SIGN-UP Form