Skills for Safer Living Expression of Interest (EOI) • Resource Centre for Suicide Prevention

If you are in immediate danger, call 911. If you are in crisis, help is available: Suicide Crisis Helpline 24/7 crisis support to talk with a trained responder who will listen and provide emotional peer support Call or text 988 Kids Help Phone Free, 24/7, multilingual and confidential support to young people Call: 1-800-668-6868 Text: 686868 Hope for Wellness Line Available 24/7 to all Indigenous people across Canada Call: 1-855-242-3310

Skills for Safer Living Expression of Interest (EOI) Form

Thank you for your interest in joining a Skills for Safer Living cycle. We recognize that reaching out for help and trying something new can be vulnerable and even scary. Whether you’re looking for support for yourself or someone you care about, reaching out for help is brave and a sign of strength, not weakness. We’re glad you’re here and we’re here to support you. To inquire about joining a Skills for Safer Living cycle, please complete the Expression of Interest form below. A Skills for Safer Living team member will review your submission and contact you with the next steps. This program is for youth, young people, and their support person living in Alberta, Canada. If you are outside Alberta, please contact your local help line or community support services. Participation with a support person is strongly encouraged whenever possible.

Step 1 of 2

What type of registration is this?(Required)

Participant Type Selection

Youth Information

Youth Name(Required)

First Last

Pronouns

Self Described Details

Date of Birth(Required)

Youth

Phone(Required)

Email(Required)

Address - Participants must live in Alberta(Required)

Street Address Address Line 2 City Province Postal Code

Experience with Suicide(Required)

Support Person Details

Name(Required)

First Last

Pronouns

Pronoun Description

Phone(Required)

Email(Required)

Relationship to Youth(Required)

Would you like to add a second support person?

Yes

Skills for Safer Living Expression of Interest (EOI) Form

Youth Information

Support Person Details

Optional Second Support Person