Virtual BeFriender Candidate Training Registration Prior to registering candidates for training, please review Program Leader Expectations and Responsibilities. NOTE: All times are Central Time! Name of Church/Organization*Address of Church/Organization* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Name of active BeFriender program leader to serve as contact person during candidate training.* First Last Email* Cell Phone*Number of Candidates1 candidate2 candidates3 candidates4 candidatesCandidate 1 Name* First Last Candidate 1 Email* Candidate 1 Cell Phone*Candidate 1 Home Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Training session candidate 1 will attend*March: 13, 20April: 10, 17, 22Candidate 2 Name* First Last Candidate 2 Email* Candidate 2 Cell Phone*Candidate 2 Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Training session candidate 2 will attend*March: 13, 20April: 10, 17, 22Candidate 3 Name* First Last Candidate 3 Email* Candidate 3 Cell Phone*Candidate 3 Home Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Training session candidate 3 will attend*March: 13, 20April: 10, 17, 22Candidate 4 Name* First Last Candidate 4 Email* Candidate 4 Cell Phone*Candidate 4 Home Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Training session candidate 4 will attend*March: 13, 20April: 10, 17, 22Workshop Fee $180 per candidate* Price: $180.00 Total $0.00 Billing Zip Code* ZIP / Postal Code Credit Card* Card Details Cardholder Name The credit card...*is my personal cardbelongs to my organization/churchPhoneThis field is for validation purposes and should be left unchanged.
