QPR Individual Registration Form

Please fill out the information requested below and once your submission has been received you will be contacted with further information.

Group Requests

If you wish to schedule a QPR training for your group or department, please complete the Request A Workshop form.

> Request a Health-Related Workshop

Contact Information

(Required)
(include first and last names)
(Required)
(@buffalo.edu address preferred)
 

Select a Training Date

 
 
In the event your first choice isn't available, please select an additional date(s)
(Required)

Need Help Completing the Form?

Counseling Services

Student Life

University at Buffalo
120 Richmond Quadrangle, North Campus
Buffalo, NY 14261

Phone: (716) 645-2720; Fax: (716) 645-2175