• California Association of Peer Supporters Academy Application

    Apply now to one of our training sessions starting this Summer (am/pm)
  • Applicant Requirements: 

    Applicants must have personal lived experience with a mental illness, addiction or justice-involvement and have experience as a consumer of services in the mental health system. 

    Applicants must also identify themselves as a person who has used, or uses, mental health services in their own recovery process. OR applicants must be an immediate family member of a person with a mental illness who has had experience as a consumer of services.

      Applicants must plan to attend all sessions, which include classroom instruction via Zoom. Notification of any need to miss a class or leave early must be done verbally and in writing at least 24-hours in advance.

      Applicants must secure their own transportation to internship sites in addition to the classroom in Huntington Park. (Currently all training and internships are online via Zoom).

      Applicants must be able to communicate effectively using written and verbal skills.

      Applicants must complete the application using a computer, independently and in their own words.

     Applicants must have basic computer skills and the technical capability to participate.

    Instructions:

      All requested information must be provided and every question on this application must be completed. (Note: This DOES NOT include the “Voluntary Disclosure of Self-Identification” form on Page 8). Incomplete applications are defined as containing any blank information box or partially-answered essay question. If you need additional sheets, please put your name on each sheet and send them with your application.

    Applications must be completed using a computer. You may type directly into the application and submit online once completed.

      Each candidate must attend an interview before acceptance into the program. Dates/times for the interviews will be scheduled by the PRPSN Training Department. 

     


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  • Class Schedule Preference Selection

    Please select your preferred training times by selecting the priority for each schedule type.
  • Alternative Contact Information

    This is someone who could be reached in case of emergency or as a way to contact you if the information you provided above changes: 
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  • Applicant Written Essay

    Please answer all of the questions below in your own words.
  • Applicant Education & Career Accomplishments

    Please provide as much information as possible related to your past and current education/training/employment/volunteer experience.  Lack of previous education/training or paid employment will not disqualify you.
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  • Individualized Career Plan

    Complete the individualized career plan (ICP) below to state your goal.
  • Example of Career Plan:

    Name: Jane Ackerman

    Example Career Goal: To successfully complete a peer certification training.

    Example Requirements (What do I need to reach my goal): 

    I must have lived experience in recovery, apply to an approved peer certification training, participate in a selection process, I will need to have some computer skills to participate in the training and do homework, I must participate and ensure that I understand the material by asking questions and taking notes, I must pass the final exam to successfully complete the training and obtain my completion certificate. 


    Example Current Skills & interests: 

    I have lived experience in recovery. I am a mental health advocate. I have some computer skills and knowledge about using the internet, I am interested in learning more about how to be a peer supporting others. 

    Example Plan to Reach Goal (Who? What? How? Reasonable? Expected Result? Timed/When?:

    I will successfully complete a peer certification training by applying to a peer certification training program, participating in a selection process by showing up to any interviews and being prepared to showcase my best self. If I take notes during class and study for the final exam, I am likely to pass the final exam and earn my completion certificate by October, 2022

  • Participant Agreement Form

    Read each of the following statements thoroughly!  Initial next to the statement you agree with.
  • I completed this application on my own *      
    I used a computer to complete the application *
    I answered all questions in my own words*

    I intend to enter the mental health field either as a volunteer or paid employee upon completion of this course. *

     I intend to participate to my maximum ability during the eight-week training, including the classroom obligations. Repeated absences of more than 4 will result in elimination from the course. *

    I understand that Project Return Peer Support Network along with the California Association of Peer Supporters Academy is not a job placement program, and that PRPSN is under no obligation to find me a job or ensure my employment. *

    I understand that the content of the training is to provide me with core skills necessary for Peer Professional and/or entry level positions in the mental health field.*      

    I agree to complete all required homework and classroom assignments.*   

    I understand that in order to receive a certificate of completion, I must graduate from the class with everything completed. *     

  • Clear
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    Pick a Date
  • This demographic survey is being administered by the Office of Statewide Health Planning and Development (OSHPD) who funds your participation in this program. In efforts to collect data that enables the evaluation of the program’s effectiveness towards serving diverse populations, this survey aims to collect data on the wide range of demographics of our program participants. While this survey is optional, OSHPD kindly requests your completion of this anonymous survey.
  • *A disability is defined as an individual who: 1) has a physical or mentalimpairment or medical condition that limits one or more life activities, suchas walking, speaking, breathing, performing manual tasks, seeing, hearing,learning, caring for oneself or working; 2) has a record or history of suchimpairment or medical condition; or 3) is regarded as having such an impairmentor medical condition.
  • Thank you!

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