?CCNEWYORK TRAMMING PARTICIPANT SIGN-IN LOG COURSE fl'ltE SuicideProvention/SHUTrainint COURSE CODE: TRAINING DATE(S): From: IRAININCiTMES. . INSTRUCTOR(S): December 7.2018 To: December 7.2018 TOTALTRNGHRS. lg. To: NOTE: ORScINIMARYOFTHA 11:001,6 INS11RUCTOR( NvusricrrAcatAcauca& 'INC LAST N

C NEW YORK TRAINING PARTICIPANT SIGN-IN LOG COURSE TITLE: Suicide Prevention/SHU Trainine COURSE CODE: TRAINING DATE(S): From: TRAINING TIMES: INSTRUCTOR(S): December 7.2018 To: December 7. 2018 TOTAL TANG HRS. 1 14 ' ' ' To: 12:00bm NOTE: OR SUMMARY MUST ATTACH AGENDA INSTRUCTORS) OF TRAININ

SIGN-IN LOG COURSE CODE: TRAINING DATE(S): From: December 7.2018 To: December 7.2018 TOTAL TRNG HRS. 41 4,4, TRAINING TIMES • To: 12:00Am INSTRUCTOR(S): NOTE: INSTRUCTOR(S) MUST ATTACH AGENDA OR SUMMARY OF TRAINING LAST NAME (PRINTED) FIRST NAME (PRINTED) 80P ID SIGNATURE OFFICE USE 1. 2.

SE CODE: TRAINING DATE(S): TRAINING TIMES: INSTRUCTOR(S): From: December 7.2018 To: December 7.2018 TOTAL TRW HRS. . 4,1, To: I 2:00Am NOTE: INSTRUCTOR(S) MUST ATTACH AGENDA OR SUMMARY OF TRAINING LAST NAME (PRINTED) FIRST NAME (PRINTED) 8OP ID SIGNATURE OFFICE USE 1. .... 2. 3. 4. 5. 6.