Application for safeTALK Materials
In an effort to subsidize costs passed on to safeTALK training participants in Colorado, the Office of Suicide Prevention is pleased to consider your application for free safeTALK training materials for use in the workshops you facilitate.  After completing the application, we will be in touch to review the details of your request.
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Email *
Organization Name
Trainer Name, if identified *
Trainer ID Number
Phone number *
Please provide a short description of why materials are needed for your training project.
Colorado counties that you plan to offer trainings in: *
Average number of attendees per training: *
Shipping Contact / Company *
Shipping Address - Street *
Shipping Address - City *
Shipping Address - State *
Shipping Address - Zip Code *
safeTALK Participant Kit (English) includes the resource book, wallet card, stickers (2), certificate, and brochure.  How many participants kits are you requesting? *
When do you need the materials by? *
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If we are able to subsidize the cost of materials for you, what do you plan to charge participants to attend safeTALK? *
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