Programs

ASIST T4T FRENCH Saskatoon SK April 23-27 2012

Essential Information for ASIST Trainer Candidates

Fill out the form below and click the "Apply Now" button once. An asterisk (*) indicates required information. In the event that a course is cancelled, any payments will be refunded in full. You can also print and fax this form to +1 (403) 209-0259.

Course Dates: April 23-27, 2012
Location:
Ramada Hotel and Golf Dome
806 Idylwyld Drive N.
Saskatoon, Sask. S7L 0Z6
Tel:306 665 6500
Fax: 306 665 1973
Toll Free: 1 - 800 667 6500

Language: FRENCH

Course fee: $2,750.00 CAD
Course fee includes: Refreshments, lunches, ASIST trainer kit (trainer manual, organizer guide, implementation guide, workshop audiovisuals, posters, dissemination materials, carrier bag and suicideTALK, a program for providing awareness presentations. NOTE: Please bring your laptop if possible.


Statement of Principles

  1. I have read the Essential Information for ASIST Trainer Candidates and understand the commitments that will be asked of me as a trainer.
  2. I have had time to consider my decision, to discuss it with my employer, and I have freely chosen to participate.
  3. I understand that the training materials I will receive can only be used by those who have successfully completed the five-day T4T course. My employer is aware that the training materials I will receive become my property, regardless of who pays my course fees.
  4. I must punctually attend all five days of the T4T course or risk having to retake the course.
  5. I need to work onsite either Wednesday or Thursday evening of the course.
  6. I should avoid any other commitments during the week as almost every waking hour is required for the course.
  7. I read well. I am a hard worker. I already have or I am willing to work hard to develop strong presentation and small group facilitation skills, and an understanding of the scientific literature on suicide.
  8. I recognize that completing three workshops within the first year will establish my Registered status and presenting one workshop per year thereafter will maintain my Registered status. I also know that I will need considerable preparation time for my first few workshops.
  9. I recognize that material pricing for ASIST is subject to change and is kept current on LivingWorks' website.
  10. I understand that workshops should be conducted in a safe workplace setting.
  11. I appreciate that in the interest of maintaining standards, LivingWorks has the right to observe workshops that trainers present.
  12. I recognize that each individual trainer has the right to decide such implementation issues as marketing, prices and trainer fees although agreements among trainers in a region is recommended.
  13. I understand that I will need to arrange for the payment of the services of a Consulting Trainer should I be required to use them after T4T as part of the process of becoming a trainer.
  14. I understand that LivingWorks reserves the right to make final decisions regarding my potential to become a trainer. Only some portion of the materials costs is returned in those rare circumstances where a candidate is not authorized to continue in the process of becoming a trainer.

* I agree to the above Statement of Principles

Cancellation Policy

If cancellation is received by LivingWorks more than two weeks prior to the start date of the T4T, the course fee will be refunded, less the $500 non-refundable deposit. If LivingWorks is able to fill the cancelled seat, the $500 deposit will also be refunded.

If cancellation is received within two weeks of the start date of the T4T a refund cannot be issued. The course fee will be held as a credit for a maximum of 18 months should the agency decide to send another candidate to an alternative T4T. The candidate will be required to re-submit the $500 non-refundable deposit to secure a place on an alternative T4T and complete the aplication process again.

No-shows on Monday morning of the T4T without notification will not receive a refund or be issued a credit for a future T4T.

Cancellations by LivingWorks Education Inc.

In the event that a course is cancelled by LivingWorks a full refund will be issued including the deposit. LivingWorks is not responsible for any loss incurred for travel expenses due to a course cancellation.

* I agree to the above Cancellation Policy


Contact Information

LivingWorks will maintain the information that you provide here on file for the purpose of processing this application and fulfilling registration procedures. LivingWorks complies with the Privacy Act and maintains a high level of security with respect to the confidentiality of your information. We do not release contact information without your authorization. See LivingWorks Privacy Promise at www.livingworks.net.

*Your Name in Full:   Organization/Company:
Title: Credentials:

Mailing Address

Type: Work   Home    
Address: City:
State/Province: Zip/Postal Code:

Phone and Email

Type: Work   Home    
*Phone (with area code): *Email:

 

Payment and Options

We are currently working on implementing a secure online payment system. At this time, to speed up order processing please phone or fax your credit card information to Phone: +1 (403) 209-0242 or Fax: +1 (403) 209-0259. Please note, we can only hold your application for seven (7) days without a credit card guarantee.

*COURSE FEE: $2750.00

$500 CAD deposit now due (non-refundable unless course is cancelled or postponed) with balance due by start of course. Term is net 30 days.

Payment method

VISA   MasterCard

(Phone in your credit card once you have submitted this application form)
OR
Check

Check Number:

Mail check(s) payable to: LivingWorks Education
4303D 11 Street SE
Calgary, Alberta T2G 4X1
OR
Covered by Organization

P.O. Number:
(Available from your organization)

Organization:

 

Dietary and onsite requirements

Refreshments and lunches are included. Please let us know of any special dietary requirements:

Please specify any special onsite needs concerning mobility, audio or visual accessibility:

 


(Click button ONCE. If you do not receive a confirmation within two business days, contact LivingWorks)