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(601) 713-HELP(4357)

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Contact The Crisis Line

Training Registration Form-Spring 2010

Training will be on Tuesday afternoons 1:30-4:30 PM beginning February 9, 2010.

Beth Israel Congregation, 5315 Old Canton Road, Jackson, MS
Dorothy Triplett, Training Coordinator (601-982-9888)

Name
Preferred Name
Address
Home Phone
Office Phone
E-Mail Address
Employer
Occupation
Educational Background
Special Skills
Religion/Denomination
Local Congregation
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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CONTACT the Crisis Line
P.O. Box 5192
Jackson, MS 39296