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(601) 713-HELP(4357)

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Training Registration


Name
Preferred Name
Address
Home Phone
Cell Phone
Office Phone
E-Mail Address
Employer
Occupation
Educational Background
Special Skills
Religion/Denomination (Optional)
Local Congregation (Optional)
How did you learn about Contact the Crisis Line?
Please list any expertise or experiences that might relate to crisis line service:
Expertise/Experience
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***There is no charge for this course of training for those who plan to serve as telephone crisis counselors. The cost for those taking this training for job skills enhancement or personal development only and who do not intend to volunteer, is $600.00.***

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