Willamette University QPR Sign-Up Form
Thank you for your interest in Question, Persuade, and Refer (QPR) training! Trainings will continue to be added over time.
  • To receive certification, you must attend the whole training.
  • The QPR Institute requires a minimum of 6 months since a participant was touched by suicide (e.g., experienced suicidal ideation or behavior, a loved one died from suicide, etc.).
If you have any questions, please email Willamette's QPR trainers.
Email *
Closeness to suicide *
If you have been touched by suicide within the last 6 months, please do not sign up for a QPR training at this time. For your care and well-being, we invite you to join a QPR training after the 6-month mark.
Preferred first name *
This will be used for the sign-in sheet and your certificate.
Last name *
This will be used for the sign-in sheet and your certificate.
Campus role *
Please select the option that best describes your role on campus. We use this information for statistics and training offerings.
Training session *
Please select your preferred training session.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Willamette University.

Does this form look suspicious? Report