Survivors of Suicide (SOS) Support Group In the Shadow of Suicide: How We Can Help
Friday, June 14th, 2019 301 Science Park Road, State College PA 16803 9 am-4 pm, with registration starting at 8:30 am
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Dietary Restrictions
CEUs Requested
Psychologists
Licensed/Clinical Social Workers, Licensed Professional Counselors, Licensed Marriage and Family Therapists: LSW/LCSW/LMFT:
PA Educators
Other Professionals:Nurses and other professionals
N/A
Cost
Free for participants - Funded by the Garrett Lee Smith Suicide Prevention in Pennsylvania Schools and Colleges Initiative and Prevent Suicide PA. (Please note: CEUs are available for a cost of $30/participant)
My Products
prev
next
( X )
Registration Fee
$
Free
CEUs
$
30.00
Total
$
0.00
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit
Should be Empty: