ASIST Registration 2024:
Thank you for your interest in our upcoming ASIST Training. We are excited to have you in training!

Please note: Participants must attend both days (16 hours total): 
Start/End Time: 
10am-6pm

San Benito County Location: 
February 21 & 22
San Benito County Behavioral Health
1131 Community Parkway
Hollister, CA 95023

Monterey County Location: 
April 16 & 17 
945 S Main St., Suite 205 
Salinas CA 93901

Santa Cruz County Location:  
June 6 & 7
104 Walnut Ave # 208
Santa Cruz, 95060

San Benito County Location: 
August 8 & 9
San Benito County Behavioral Health
1131 Community Parkway
Hollister, CA 95023

Monterey County Location: 
October 3 & 4 
945 S Main St., Suite 205 
Salinas CA 93901

Santa Cruz County Location:  
December 5 & 6
104 Walnut Ave # 208
Santa Cruz, 95060

Applications will be handled on a first-come, first-served basis. Once accepted into the training, you'll receive a confirmation email from the organizers. If you haven't received confirmation within 48 hours, please check your spam folder. 
For any questions, kindly reach out to Carly Cuevas at cuevas.c@fsa-cc.org - Thank you!

Sign in to Google to save your progress. Learn more
Please select ONE training date that you plan on attending *
Name *
Email *
Phone Number *
Occupation
Organization
I am interested in attending the 2-day ASIST Training on the above chosen date/location and I can commit to attending BOTH days from 10am-6pm. I understand that my registration means I agree to participate in the total 16 hours of training.
Clear selection
Lunch will be provided! We typically order sandwiches, please indicate your preference
Do you have any food allergies or special needs you would like us to be aware of?
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Family Service Agency of the Central Coast. Report Abuse
Google Forms