Maristan Suicide Response Training Interest Form
Asalamualaykum! 

Please read the following information carefully before submitting the form. 

We are delighted in your interest to bring Maristan's Suicide Response Training (SRT) Certification to your community! Please fill out the form below and we will reach out to you as soon as we can. 

Requirements for Maristan's Suicide Response Training: 
1) Maristan requires a minimum of 40 religious and community leaders in attendances for the training
2) Maristan requires an 8-week planning and implementation period from the time that an SRT is confirmed in your community. 
3) Form submissions should be completed on behalf of an organization and not individual interest. 

Thank you for your interest!
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Organization Name *
Name of Organizational Contact *
Email *
Where are you located? Include city, state, and country.  *
What is your organization's role in the community?  *
Why are you interested in bringing Maristan's SRT Certification to your community? *
If you have any other comments, please share them below.
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