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Registration for: 2018 Suicide Prevention Conference

Wednesday, October 3, 2018

First Name
Last Name
Agency/affiliation
Address
City
State
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Phone
Email (required for email confirmation)
NOTE: You will receive an email confirmation from webserver@moderntymes.com. You may want to add this address to your spam filtering "safe senders" list or whitelist to make sure you receive the message.
Payment type Pay $95 conference fee by:
Credit Card
Check
Purchase Order
Agency Transfer (Reference code BHSB-TC 01)
Please Note: After September 26th registrations will not be refunded. Registrants who are no-shows will not receive a refund.
Student Rate?
Check to receive discounted student rate of $55.00
(check one of the above payment options)
Limited space available; must bring current student ID.

Workshops Session 1
(choose one)

see workshop details
1. Out of Harms Way: Using Peers as an Effective Approach to Suicide Prevention in the Navy
2. Suicide Risk Reduction in Older Adult Populations
3. Suicidality in Persons with Intellectual and/or Developmental Disabilities: Assessment and Intervention Strategies
4. Evaluating Suicide Risk In Youth
5. Bullying and Suicide: Grace’s Law and the Media
6. Survivors of Suicide: Transforming Pain into Hope & Healing
Workshops Session 2
(choose one)

see workshop details
1. Youth Visionaries: Stories of Struggle, Passions for Change
2. The Goal of Zero: Understanding the Zero Suicide Model Approach
3. Suicide Postvention: Caring for People After a Suicide
4. Maryland Suicide Prevention Regulations and Workforce Development
5. Youth Suicide and Social Media
6. Safe Space: LGBTQ+ and Suicide Prevention
Workshops Session 3
(choose one)

see workshop details
1. Youth Peer Support as a Mechanism to Reduce Suicide Risk
2. Counseling on Access to Lethal Means: An Effective Way to Save Lives
3. Preventing Youth Suicide in Baltimore City
4. Supporting Active Military, Veterans and their Family Members to Prevent Suicide
5. Walking the Red Road
6. All Hands on Deck: Understanding the Collaborative Treatment Services for Maryland's Youth in Detention and Re-Entry Programs
Attendance verification Continuing Education Units (CEU)
For social workers, psychologists, professional counselors, therapists, and alcohol and drug counselors
Certificate of Attendance (COA)
For nurses and all other disciplines

PO Number

(purchase orders only)

Hearing interpreter
(Check if required)
Please call 410-646-7758 for interpreter

Special Accommodations
(Check if required)
NOTE: This does not include food.
Please describe any special accommodations required.