Crisis Prevention Institute: Welcome National Council Magazine Readers!

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Certified Instructors: IANCICI | PrepareTraining^®
What is IANCICI membership?

Agitated, Disruptive, Even Violent Clients?

Welcome National Council Magazine readers!

To thank you for taking the time to learn more about CPI's Nonviolent Crisis Intervention^® training, we will send you the FREE Resource Pack described below.

Your FREE Resource Pack includes one of each of the following:

How to Document Any Incident poster
Risks of Restraints booklet
Staff Debriefing Strategies pamphlet
7 Principles for Effective Verbal Intervention pamphlet
10 Tips for Crisis Prevention pamphlet

resources

To receive the FREE Resource Pack, please complete the information below.

First Name
Last Name
Job Title
Organization
Org. Address
City
State/Prov.
Zip/Postal Code
Country
Day Phone
Extension
Fax
E-mail

How may we contact you? Please read our privacy policy
	Mail	Yes	No
	Phone	Yes	No
	E-mail	Yes	No
	Fax	Yes	No

What is your facility's primary area of business?
		Education/School
		Human Service/Government
		Healthcare
		Long-term Care
		Mental Health
		Corrections/Security
		Business/Manufacturing
		Other

How many employees are in your organization?

Does your facility have an immediate need for training?
	Yes No
	If YES, do you recommend, specify, approve or purchase training and/or training resources for employees at your facility?
	Yes No

Are you (or your facility) interested in the topic of managing disruptive and assaultive behavior because of regulations/ legislation require training?
	Yes No
	If YES, please provide the name of the mandate or legislative action:

Please list any additional comments, questions, or requests for information regarding CPI's training programs and resources:

Thank you for taking the time to answer the questions above. We appreciate your interest and will send the training resources and information you requested within 7-10 days. If you have immediate questions, please contact a knowledgeable Training Support Specialist at 1-800-558-8976.

All fields must be filled in correctly to receive this offer. Offer valid while supplies last and shipped to the organization address only.
One request per organization please.