Waitlist Registration - ASIST (Applied Suicide Intervention Skills Training) (May 14-15)

External Registration (May 14-15)

Contact Information:

* Denotes a mandatory field

*First Name:

*Last Name:

Title:

* Company/Organization:

*Mailing Address:

*City:

Province/State:

*Country:

*Postal/Zip Code:

*Telephone:

Extension:

*Email Address:

Your email address is required so that we may contact you if a spot becomes available in the event.

Event-Related Questions

*Have you previously taken suicide alertness training? For example, LivingWorks Start, SafeTalk or other?

Yes
No

*Is this a required training for your role at Queen’s?

Yes
No
Unsure

Queen’s is committed to an inclusive campus community with accessible goods, services, and facilities that respect the dignity and independence of persons with disabilities.

Are there any steps we can take to make this a more inclusive and barrier-free event?

Do you have any food-related allergies or considerations? If so, please list each below.

*Queen’s University’s Collection Notice

Personal Information is collected under the authority of the Queen’s University Royal Charter, 1841 , as amended, 
and will be used for the registration and associated uses for attending/registering for 
Applied Suicide Intervention Skills Training (ASIST). 
Questions regarding the collection or use of this personal information should be directed to bewell@queensu.ca. 

By clicking 'Yes' you agree to the collection of this information.

Yes

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