SHARC Peer Worker Training Registration Questionnaire

SHARC Peer Worker Training Registration Questionnaire
1. Name:*

Given NameSurname
2. Contact Phone Number:*
3. Email:*
example@example.com
4. Have you completed SHARC's Peer Worker Training previously?*

YesNo
If yes, when did you complete SHARC's Peer Worker Training?*
5. Have you completed SHARC's Introduction to Peer Work session?*

YesNo
If yes, when did you complete SHARC's Introduction to Peer Work session?*
6. Have you registered your interest for SHARC's Peer Worker Training previously?*

YesNo
If you have registered your interest for SHARC's Peer Worker Training previously, how many times have you applied and when?*
7. Are you currently in a lived/living experience role?*

YesNo
What is your role title and which organisation do you work for?*
Which sector do you work within?*

AODMental HealthGambling HarmHomelessnessOtherNot Applicable
If other, please specify.
What is the status of the role?

Full-timePart-timeCasualVolunteer
9. How would you describe peer work? *
10. What interests you about becoming a peer worker?*
11. Are you comfortable utilising your lived/living experience to support others?*
12. As one of the most important parts of peer work is how we are able to utilise our lived experience, have you been through a process of change that has helped you reflect on the distress you have experienced?
A*
B*
C*
D
13. Are you currently engaged in services/treatment for support with AOD or Mental Health?*
14. Have you completed any previous trainings or courses?*
15. How did you hear about this training?*

Peer Projects Mailing ListBasecampElevate!Social MediaWord of MouthOther
Thank you for taking the time to answer these questions to register your interest in SHARC's Peer Worker Training. Please be assured that your responses will be kept confidential and private and only used to gauge the suitability of this session for you.
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SHARC Peer Worker Training Registration Questionnaire

Thank you for taking the time to answer these questions to register your interest in SHARC's Peer Worker Training. Please be assured that your responses will be kept confidential and private and only used to gauge the suitability of this session for you.