Course: Assisting Individuals in Crisis - In Person

Date: May 30-31st, 2023 from

Time: 9 am - 4 PM

Location: Veterans Memorial Gardens & Interpretive Centre

10121-93 St Grande Prairie, AB T8V 1Y1

Assisting Individuals in Crisis - Your starting point for CISM Training

Please take a moment to complete the following information regarding the upcoming training. The address information is required by the ICISF in order to provide a certificate for the training.

You will receive an invoice as soon as there are sufficient registrations for the course to be confirmed. The cost of this course is $350 CAD + applicable taxes unless you register by March 15th to get the early bird price of $325 CAD + applicable taxes

CISM TRAINING - Sign up on the form below:

Required *

First & Last Name

Email Address

Mailing Address

Please provide your current position/role at work or in your personal life that resulted in you taking this training.

What prior training do you have in either mental health awareness or emotional crisis intervention ? Please check all that apply:

How many personal traumatic events have you dealt with in the past year? e.g workplace incident, relationship ending, death of person close to you, etc. The aggregate and anonymous information will be discussed within the class to emphasize the dep

In the past year, how many times have you helped a person who was going through a difficult time or had experienced a traumatic event?

Please understand that traumatic events including workplace incidents, relationship stress, and suicide will be discussed during this training. You are responsible for your own self-care and agree to opt out if a subject is too sensitive for you to

If you indicated a specific scenario above, please provide a brief outline/summary. If possible, it will be avoided as a role-play scenario for the training. Replies will not be shared with the class.

Please indicate the form of payment you wish to use. If you are not already registered via another organization, an invoice will be sent via Square. If paying via e-transfer, please indicate the invoice number in the remarks of your transfer

If you indicated that your employer is paying for the training, we require the name and other information for the person responsible for payment. Please enter their name/email/phone info here:

How did you hear about this training? *

Please provide any information about yourself that you feel may be helpful for the trainer to know in advance.

Please ask any questions you might have here:

Once registered you will be given a menu for meal options that are for extra purchase. If you have any dietary concerns please list them here so the cooks can tailor make the menu to minimize any allergy or sensitivity issues.

Do you have any dietary restrictions we need to be notified of?

YESNO

If you answered yes to dietary restrictions, please list them here:

Course: Assisting Individuals in Crisis - In Person

Assisting Individuals in Crisis - Your starting point for CISM Training

CISM TRAINING - Sign up on the form below:

Location & Contact:

Map:

Hours of operation: