Name
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First Name
Last Name
Email
*
example@example.com
Phone Number
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Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How are you participating?
Please Select
SERVICE MEMBER / VETERAN
VSO / VETERAN NONPROFIT EMPLOYEE OR VOLUNTEER
FAMILY MEMBER / PATRIOT
What organization are you affiliated with?
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What motivated you to take this training? (Check all that apply)
*
Concern about a family member/friend
Know someone who has attempted or died by suicide
Helpful knowledge for my work
Helpful knowledge for my community connections (faith community, civic involvement, etc.)
Required training for work or volunteer program
Interested in health/mental health
Other
Which date/time will you be attending?
*
March 26, 2024 - 6PM - 8PM @ Eagle OPS Headquarters
June 25, 2024 - 6PM - 8PM @ Eagle OPS Headquarters
October 22, 2024 - 6PM - 8PM @ Eagle OPS Headquarters
December 3, 2024 - 6PM-8PM @ Eagle OPS Headquarters
Walk Up Registration
Other
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