CRITICAL INCIDENT STRESS MANAGEMENT NJCISM/NJPBA Team will be hosting a Critical Incident Stress Management (CISM Basic Crisis Intervention training program on November 1st-2nd,2001, and a Individual Crisis Intervention & Peer Support course on November 15th-16th,2001 atthe Emmaus House, 101 Center St, Perth Amboy, NJ. A Representative of the NJCISM Response Team will teach the courses. This course is designed for all emergency services personnel (Police, Fire and First Aid, Nurses) as well as teachers, mental health providers, etc.

The Courses will be offered as follows

Novemeber 1st-2nd,2001 Critical Incident Stress Management (CISM Basic Crisis Intervention

November 15th-16h,2001 Individual Crisis Intervention & Peer Support

Those personnel, interested in providing CISM response need to have certificates of attendance in both the CISM Basic course as well as the ICISF Peer Support training.

The fee for each course is $75.00, which includes breaks and course material. The classes will run 8:30 a.m. to 4:30 p.m. on each day. Please fill out the form below and check off the courses you wish to attend return to Roland Kandle, 210 Summit Street, Vineland, NJ 08360

Any questions, please feel free to contact Roland Kandle (856) 692-8038 or 856-289-0392 pager, 609-381-3233 cell phone

__I will be attending the Basic ICISF Course Novemeber 1st-2nd,2001

__I will be attending the ICISF Peer Support Course on November 15th-16th,2001

MAKE ALL CHECKS PAYABLE TO CISM Team (vouchers are accepted)

Name:____________________________Phone_______________

Address:_________________________City________________State__

Affilation:____________________________________________