Applied Suicide Intervention Skills Training (ASIST) | Johnson County

How many people are you registering? *

Register Mental Health

First Name *

Last Name *

Email Address *

Street Address *

City *

State *

Postal Code *

Cell Phone *

Do you need interpreter services? If yes, which language?

Apply for financial assistance

Yes

No

If you have a discount code, enter it here

ASIST Training *

ASIST Training - $ 100.00

Total for this participant