Alabama Suicide Prevention and Resources Coalition (ASPARC) Lay My Burdens Down Training Request

ASPARC invites you to sign up for the "Lay My Burdens Down" workshop. After you have submitted a training request, we will contact you within a few days to discuss your training needs. For additional information, please feel free to contact Dr. Judith Harrington at info@asparc.org.

First Name *

Last Name *

Address 1 *

Address 2

Church or Organization

Spiritual Affiliation

City *

State *

Postal Code *

Phone *

Email Address *

How would you like us to contact you? *

By Phone

By Email

Best Time to Contact *

Where did you find out about this opportunity? *

What days of the week are you consistently available for training? *

How many people are you requesting training for? *

Comments/Additional Information

Flyer or posting	Friend or family
Newspaper	Personal inquiry
Website	Other Other

Sunday	Monday
Tuesday	Wednesday
Thursday	Friday
Saturday

Just me	5-10 people
11-20 people	20 or more people
Other Other