Conversations about Suicide Registration
4-5hr short course
Name
*
First Name
Last Name
Email address
*
example@example.com- This will be the email address used for correspondence about the course.
Contact number
*
Mobile number 0000 000 000
Are you a selectability staff member?
*
Yes
No
Please select the training dates and location you are registering for:
*
I would like to register a group of 10 or more individuals, and select my own date.
Organisation Booking
How did you hear about this training?
*
Word of mouth
Social media
Internet (Google)
Service Finder pamphlet
Line Manager
Physical flyer
Other
Further Information
Please let us know any relevant information that can assist us for delivering the course
Submit
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