Training or Speaker Request Form

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We offer an array of training and education topics. We are available via webinar/zoom for staff meetings, virtual conferences or ongoing training needs. Use this form to request training/speaking engagement from Beautiful Soul Wellness.

Email *

Which topic are you requesting training on or more information about? (check all that apply) *

Question, Persuade, Refer (QPR) Gatekeeper Training

Wellness Recovery Action Plan Support Group *not seminar 1 eligible

WRAP basics *not seminar 1 eligible

Personal Medicine Overview

Mental Health Micro-Aggressions

Pennsylvania Mental Health Advance Directives

Personal Account/Story of Empowerment

Emotional Wellness and Beyond

Required

Name of person making request: *

Email Address *

Phone Number *

Preferred method of communication *

Phone

Send me a copy of my responses.

Submit

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