ASIST - Registration Form

Suicide CPR:
Learn the skills that save lives!
$160.00 per person

The discounted fee is made possible at this time due to fees being subsidized by the BC Ministry of Health. While this one fee applies, students are not required to provide academic identification.


Enter Workshop Dates:

8:30 am to 4:30 pm both days
Vancouver Island Crisis Society Training Centre, Nanaimo

If you are, or ever have been, concerned that someone you know is having thoughts of suicide, this workshop will be of benefit to you.

We'll Cover:

  • Working with our fears and attitudes about suicide
  • How to ask about suicide
  • How to help a person at risk uncover hope and reach a turning point
  • Intervention using a Suicide Intervention Model: Pathway for Assisting Life
  • Intervention skills using an experiential approach
  • Networking and Resources
  • Strengthening community hopes

Who should attend:

Police and correctional staff, parents/foster parents, nurses, teachers, counsellors, social workers, youth workers, school support staff, clergy, volunteers, physicians, or other people likely to encounter persons at risk.

Workshop Materials included:

  • Participant Handbook
  • Suicide First Aid Wallet-Sized Quick Reference Tool
  • Participant Certificate


Your Name




City, Province, Postal Code


Email Address

Post-Secondary School

Student ID No.

To qualify for student pricing, students must submit a copy of their student identification card either as a scanned document attached to an email sent to or as a fax sent to 250-753-2475.


Payment Method:

1. Credit Card by calling VICS (office is open Monday to Thursday, from 9 to 12 and 1 to 4)2. Credit Card at VICS office3. Cash or cheque at VICS office4. Cheque via post (not available within 10 business days of first date of workshop presentation)5. PayPal Shopping Cart6. eTransfer payment via


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Additional Comments:

I have read and understood the Course Registration Policies. Yes


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Please donate to the Vancouver Island Crisis Society to support our ASIST workshops. Thank you.