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SPAN Facilitator Training Registration Form
Welcome to the first step towards a good cause of reaching out to a person in crisis. Please submit the filled in form to register for training to be a SPAN Suicide Prevention/Intervention Facilitator. The training programme is being conducted by the various NGOs involved in this field since many years. All above the age of 18 are permitted to volunteer. You will be taught how to be an active, empathetic and non-judgemental listener...making you an effective suicide prevention facilitator and also enrich your personal communication with others. All successful volunteers will be asked to undergo a background check.  

spantrust16@gmail.com;  www.facebook.com/spanvolunteers;    www.spanindia.weebly.com

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Given Name *
Surname *
Middle Name
Gender *
Contact Number *
Email *
Next of Kin *
Name, address, phone number and relationship of Person to contact in case of emergency
Date of Birth (age proof) *
Age Group
Clear selection
Marital Status *
Education *
Occupation *
Kindly mention main occupation and also various other fields where experience is present.
Current Address *
Door No:
Road No *
Street Name *
Colony *
Area *
CITY *
Pin Code *
Permanent Address *
If different from the present/current address and if same just write "SAME AS ABOVE"
Documents Submitted *
Kindly submit Aadhar card(mandatory) and any one other card
Required
Email Scanned Images of Qualifications, ID proof and Address Proof which have been signed by you and submit physical copies at time of attending sessions *
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