Train the Trainer RegistrationOur Train the Trainer Program offers in-depth and personalized instruction in the Sources of Strength curriculum. As Sources of Strength is a highly-effective, evidence-based program, it must maintain its integrity and fidelity through careful selection of Trainers. Certification Requirements Participate in a four-day Advanced Skills Session Training. Observe at least two school trainings (if possible). Provide at least four mini trainings for colleagues, staff, students, or other local group. Co-train at least two peer team trainings. Train on his/her own at least two school trainings Commit to providing training in accordance with Sources of Strength protocols in a safe and ethical manner. Provide own transportation. Maintain open communication with the Sources of Strength National team. If you are from a smaller school system or region that cannot provide six training opportunities in 12 months it may be more cost-effective and reasonable to have one of our national trainers provide the training in your area. Eligibility Requirements Must be age 18 or older. Must have previous training experience. Should not (suggestion) have experienced the loss of a close family member, friend or acquaintance to suicide within the last two years. Please Complete or Provide Complete online Sources of Strength Train the Trainer registration form (below). A copy of your current CV/resume to jaymie@sourcesofstrength.org. A letter of support from your supervisor including a statement of her/his willingness to allow your participation in the required training activities as described above (if supervisor approval is necessary). If you have any questions about your registration or the Train the Trainer process, please contact Jaymie Sheehan our Administrative Assistant by email at jaymie@sourcesofstrength.org or by telephone at 307-380-8777. T4T Registration Form Please use this form to apply for the Sources of Strength Train the Trainer (T4T) Skills Session. Step 1 of 2 50% T4T Dates & LocationsThis will give us a sense of when you are able to attend a Sources of Strength Train the Trainer Advanced Skills Session. You can select a different date and location at a later time if necessary. Select a preferred training dates and location:*Interested in receiving updates on future T4T dates and locationsBend, Oregon March 3-6Please contact Jaymie Sheehan (jaymie@sourcesofstrength.org) with questions about dates and locations. Contact DetailsPlease enter your contact information.Name* First Last Email* Work Phone*Work Phone ExtensionNumber you can be reached at during the summer.*Phone Type*WorkHomeMobileOtherSchool / School District / Organization*Is your school / school district / organization currently implementing Sources of Strength?*YesNoWork Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Alternative AddressHome address is required if you work at a school or organization where you are not available at the work address given above during the summer months: Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe A Few More Details1. How familiar are you with the Sources of Strength program?*Very FamiliarModerately FamiliarNot Very FamiliarNot at all Familiar2. How did you hear about Sources of Strength?*WebinarConferenceNREPP RegistryGoogle Search or AdWord of MouthNPR ArticleJArticleOtherPlease describe3. Have you ever attended any of the following Sources of Strength trainings?*Select all that apply. Adult Advisor Training Peer Leader Training Staff Training Workplace Wellness Training Train the Trainer None 4. Why are you interested in becoming a certified Sources of Strength trainer?*5. Do you have any experience training or working with...*Select all that apply to you. youth or young adults? at risk youth? schools or school districts? communities? Native American/Alaskan Native/First Nation? faith-based groups 6. Have you been involved in training or implementing any other suicide prevention programs, or other bully, violence, or substance abuse prevention programs?*YesNoIf so, please describe each and your involvement in those programs.*Requirements for CertificationCertification as a Sources of Strength trainer requires the completion of the following: 1) 4-day Train-the-Trainer Advanced Skills Session training; 2) Completion of 4 mini trainings (30 minutes to 1 hour mini trainings); 3) And completion of 2 co-trainings with a national trainer (full 1 day or 2 day Adult Advisor and Peer Leader trainings). 7. Will you be able to participate in and complete this certification process within 12 to 24 months?*YesNoQuestions8. What, if any, questions or concerns do you have about the training process or the Sources of Strength Program?Are you interested in learning more about Sources of Strength implementation in the following settings? Select All Elementary Intermediate (Middle and High School) College/University Adults (Workplace Wellness, Community Programs) PhoneThis field is for validation purposes and should be left unchanged.