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A place for suicide bereavement caregivers

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Certified LOSS Trainer/Consultant Application Form

I am interested in being a Certified LOSS Team Trainer/Consultant!

*First name

*Last name

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Phone

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*Zip / Postal code

Agency/Organization name

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I acknowledge that I have read the requirements to apply for training and, to the best of my knowledge, meet those requirements.

*Recommendation Letter #1

*Recommendation Letter #2

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Read Requirements

Please note: the LOSSteam.com website is not intended to provide help in a crisis. If you are feeling suicidal or need help for
yourself or someone you know, please consult IASP's Suicide Prevention Resources to find a crisis center anywhere in the world.
In the US, dial 988 for a free suicide prevention service or visit 988lifeline.org.

Questions? Contact Us

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