Trauma-Informed Care Basic Training Application Form

The Georgia Mental Health Consumer Network sees a critical need for Trauma-Informed Care.

We see a great number of individuals who have experienced trauma in their lives, and the devastating long-term consequences of that lived experience. Providing Trauma-Informed Care Training, focused on systems change for Georgia’s Peer Workforce enhances the important work done by Certified Peer Specialists (CPS), Certified Addiction Recovery Empowerment Specialists (CPS-AD), Certified Peer Specialists-Parent (CPS-P), and Certified Peer Specialists-Youth (CPS-Y). We believe Trauma-Informed Care training positively and significantly impacts the lives of many people within our state, and has a direct impact on the utilization of a wide array of behavioral health services.

If you are a Certified Peer Specialist interested in participating, we recommend registering as soon as possible. The six scheduled trainings will be on Zoom.

Only Georgia Certified Peer Specialists who have not already completed this training are eligible to participate in or receive credit for this training.

If you are accepted to a training, you will receive a confirmation e-mail that will contain the Zoom ID# and password. Upon successful completion of this 2 day course, you will receive 10 CEUs.

What type of Georgia Certified Peer Specialist are you? *

Certified Peer Specialist-Mental Health Certified Peer Specialist-Addictive Disease Certified Peer Specialist-Youth Certified Peer Specialist-Parent

Name *

First Name Last Name

Address where your training manual should be sent if you are accepted: *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Preferred E-mail *

example@example.com

Preferred Phone Contact Number *

Employer

Choose one training session. All sessions are 10am-4:30pm. *

April 21-22, 2021 April 28-29, 2021 May 12-13, 2021 May 26-27, 2021 June 9-10, 2021 June 16-17, 2021

The following are requirements in order to participate in and receive credit for this two-day Zoom online training:

1. Both days, all hours from 10 AM - 4:30 PM are required. (We will have an approximately-10-minute break each hour, and a one-hour break for lunch)

2. No CEUs will be given to anyone arriving more than 15 minutes late.

3. No partial CEUS will be given.

4. Each participant's computer video must be on at all times during the training.

5. Each participant must have a working microphone on your computer.

If you agree to the above requirements, please sign below.

Signature *

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