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* 1. Please enter your contact details below

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* 2. What is your postal address? (to send the manual)

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* 3. For the professional development format, I would like to:

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* 4. Three consultation calls with the CAMS Care team in the USA are included in this initiative. Please indicate your preferred days and times for consult calls. Consult calls are one hour in duration and will be scheduled monthly in April, May and June (tick all that apply)

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* 5. My work involves providing assessment and ongoing support and treatment to people that are suicidal

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* 6. I have the support of my manager and/or organisation to undertake CAMS training.

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* 7. Within my work, I have the capacity to apply the CAMS framework as part of my routine work.

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* 8. I am willing to commit to attend and actively participate (e.g. present a case, ask questions) in the three consultation calls following the training.

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* 9. How will undertaking CAMS training be of benefit to you in your role working with people who are suicidal?

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* 10. The client group I primarily work with includes:
(note: this information will be used to help ensure that access to the PD activity is spread across priority population groups)

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* 11. I understand that I will be invited to participate in the evaluation of this professional development initiative

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* 12. I understand that upon confirmation of my registration, payment will be required within 2 weeks to secure my spot; and that a cancellation less than 2 weeks before the workshop will result in registration costs only be refunded if my spot is able to be filled by another participant

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* 13. Do you have any other comments or questions?

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