Dual Certified Peer Recovery Specialist-Community Health Worker Training

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Dual Certified Peer Recovery Specialist & Community Health Worker Training Program- Application

Thank you for your interest in participating in the Dual Certified Peer Recovery Specialist & Community Health Worker 70-hour training opportunity. This training includes BHDDH's 46 hours peer recovery training program curriculum and additional 24 hours of community health worker skills & competencies not covered in peer recovery training. Once you complete this application you will be screened for eligibility and if eligible you will be contacted to participate in a virtual interview. All selected participants will need to be able to participate in full training from 9 am to 3:30 pm at Amos House in Providence, RI -BHDDH peer recovery training March 31, April 1,2,3,4, 7, 8 & 9 and additional community health worker competencies- April 22, 23, 24, 29, & 30. If you are not selected for this training due to high number of applicants, you will be placed on a waiting list.

* First Name

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* Last Name

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* Email Address

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* Best Number to Reach You

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* City -Town Where You Live

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* Birth Date

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* How did you hear about this training opportunity

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* Are you already working as a peer recovery specialist and/or community health worker

Yes

If yes, which agency or organization do you work for.

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* Please select responses that best describe your role.

Not Applicable

Peer Recovery Specialist

Community Health Worker

Dual Peer Recovery Specialist-Community Health Worker

Family Support Partner with children, youth and families

Other

* Select the responses that best describe your background as relates to recovery, select all that best apply.

In recovery from mental health challenges

In recovery from substance use challenges

In recovery from co-occurring mental health and substance use challenges

Parent/Family caregiver of a children or youth with mental health challenges

Family member supporting adult with mental health challenges

Family member supporting adult with adult substance use challenges

Supportive community partner

Other

* Please describe your readiness to work and provide family or peer support and recovery service delivery and who you most want to work with.

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* You are able to commit to attending all the following dates of training which will be held at Amos House in Providence from 9 am to 3:30 pm. Full attendance required in order to receive certificate. RI -BHDDH peer recovery training March 31, April 1,2,3,4, 7, 8 & 9 and additional community health worker competencies- April 22, 23, 24, 29, & 30.

Yes

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