Registration for ACTS (Adolescent and Youth Clinical Training for Suicide Prevention): Screening and Management in Outpatient Settings                                                                                              
To be accepted into the ACTS training, you must be a licensed profession who treats youth under the age of 18. Please note that your registration indicates your agreement to participate in the course post-evaluation and required 3 & 6 month follow ups evaluations. Please agree to complete all of the pre and post tests to be eligible to receive CEU credits below. There is a limited number of spots for this training. After completing this form, you will be be sent an email confirming your spot in the workshop and you will be provided a Zoom link to access the training.
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Email *
First Name *
Last Name *
Business Name
Mailing Address (Your ACTS manual will be shipped directly to you prior to your training date) *
Gender *
Preferred Pronouns *
I treat youth patients in: *
Required
My preferred training date is: *
Ethnicity *
Required
Education Level *
Required
Confirm email address *
Mailing Address *
Employer *
Professional Designations (PsyD, LCSW, etc) *
How long have you been in practice? *
Do you treat patients under the age of 18? *
Age *
How did you hear about this training? *
I agree to complete the pre-test and post-test before and after training completion. *
Required
I agree to be contacted for a 3 & 6 month follow up. *
Required
I agree to attend the entire training to receive full CEU credits. *
Required
Is there anything else we should know?
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