Applied Suicide Intervention Skills Training (ASIST) Registration Form

Program Registration

Applied Suicide Intervention Skills Training (ASIST)
Thank you for your interest in registering for our Applied Suicide Intervention Skills Training (ASIST).

This training teaches skills to directly respond to the needs of someone who has thoughts of suicide, with the aim of safety-for-now. The training is based on adult education principles and includes practicing skills and role-plays in an engaging and safe environment.

When you have completed all fields below, hit submit form and you will be taken to the payment page. After payment, a receipt will be automatically issued from Stripe.

If you are interested in booking in multiple people from your organization, please fill out this form.

If you have any questions, please email us at clecoordinator@crisiscentre.bc.ca

*If you are a Distress Services Volunteer with the Crisis Centre of BC, please speak with your supervisor before signing up for this training.
Program Registration

Applied Suicide Intervention Skills Training (ASIST)
Program Start Dates (mm/dd/yyyy)*
The Crisis Centre of BC Workshop Waiting List

If the workshop that you are trying to join is currently full or if there are no dates available please click here to be added to our waitlist.
Registrant Information
Full Name*

First NameLast Name
Organization
Job Title
E-mail*
example@example.com
What area or community do you call home?

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number*
Do you have accessibility needs?*

YESNO
What are your accessibility needs?
Do you have dietary restrictions?*

YESNO
What are your dietary restriction?
Have you taken SafeTALK? If you are new to suicide intervention, it can be helpful to attend safeTALK prior to ASIST*

YesNo
Notes
Anything you would like us to know?
Program Acknowledgement
ASIST deals with attitudes, experiences and feelings around suicide and can be emotionally intense. If you have been recently affected by suicide or suicide loss or are currently struggling with suicide, please consider if it is the right time to take the course.

Attendance of two full days is required to receive a certificate of completion.
ASIST Cancellation and Transfer Policies
Forms submitted without payment are not valid registrations. Space is reserved once payment has been made.

If you can’t attend the training you’re registered for, there are three options:

1. Send someone in your place: This will not incur an administration fee. Please notify us of the new individual’s first and last name and email address with as much notice as possible before the program start date.

2. Transfer your registration to another date: This will incur a $25 admin fee. Please choose a new date to take the workshop and contact us. Transfers will be subject to availability.

We cannot accept requests to transfer less than 10 days prior to the program start date.

3. Cancel your registration: We can offer a refund 10 days prior to the program start date. This will incur a $50 administrative fee. No refund will be provided if your request is within 10 days of the program start date.

The Crisis Centre of BC reserves the right to cancel workshops if minimum registration numbers are not met; in the event that we elect to cancel a workshop, full refunds will be issued.
Crisis Centre Newsletter
Subscribe to the Crisis Centre's digital newsletter to receive information about upcoming events, special announcements, education and training workshops, volunteer opportunities, ways to support our work, our annual report, and impact stories; this is the best way to stay connected and informed.
Subscribe to the Crisis Centre Newsletter?

YesNo
How did you hear about this program?*
Program Payment

Rate Types*

Individual Standard

$385.00CAD Quantity

Individual - Bulk (3 or more)Must be signing up 3 people for the same training date

$310.00CAD Quantity

Individual - Subsidized Student, low-income. If you select this rate we will be in touch to get your student number or discuss your situation.

$310.00CAD Quantity

Individual - Crisis Centre Volunteer$100 with Volunteer Promo Code

$385.00CAD Quantity

Individual - Crisis Centre StaffFree with Staff Promo Code

$385.00CAD Quantity

Enter coupon

Total

$0.00CAD

Transaction Date and Time*

MonthDayYear
Date
Hour MinutesAM/PM Option
Program Fee (Hidden)
Payment Total (Hidden)
Rate Type (Hidden)
Should be Empty:

Program Registration

Program Registration

The Crisis Centre of BC Workshop Waiting List

Registrant Information

Program Acknowledgement

ASIST Cancellation and Transfer Policies

Crisis Centre Newsletter

Program Payment