ASAP-NYCB Trainer Registry membership application

NO REVIEWS IN DECEMBER 2024
Submissions received 11/15/2024-1/15/2025 will be reviewed in January

Please note that applications received on or before the 15th of the month will be reviewed that month. Applications received on or after the 16th will roll over for review into the following month. NYCB will revert to you to confirm the status of your application in the last week of the review month.

Thank you for your interest in joining the NYCB Trainer Registry, a membership organization of professional trainers committed to delivering highest quality training in the peer recovery profession.

Member benefits include:

Participation in a prestigious statewide peer recovery trainer association
Posting to the NYCB online profile of registry members, complete with your professional profile picture and links to your website and email
Free review of registry member trainings submitted under the NYCB Training Approval program. (Registry membership is required for, but does not guarantee, training approval.)
Option to submit trainings for social work credit review
Free listing of approved trainings on dedicated New York Certification Board webpages
Digital badge confirming training approval status for placement on associated training certificates and promotional materials
Ability to extend approved training status to colleagues/co-presenters in conference workshops via waiver process
Consultative status to NYCB on issues affecting quality and delivery of peer recovery training
Regular advisories on new developments/policies in peer recovery certification and training
Invitation to participate in, and attend free-of-charge, annual/biennial training symposia to be hosted by NYCB for peer recovery training professionals
Invitation to apply for ASAP-Peer Workforce Initiative TOT training as opportunities arise

By submitting this form, you confirm that you have read, understood and agree to the terms of the NYCB Trainer Registry Member Standards of Practice published at https://www.asapnys.org/trainers-training/.

I have read and understood the NYCB Trainer Registry Member Standards of Practice*

YesNo

This Application Form is divided into 4 sections:

Trainer Profile
Training Experience
Next Steps
Membership Fees

To complete and submit the form, you will need:

Your photo in JPEG/PNG for the online directory
Your training reference letter on letterhead and in PDF
A credit card for your membership fees

Trainer First Name*

Trainer Last Name*

Email Address*

Submit an email address at which you are always contactable.

Confirm Email Address*

This is my personal business address.

Training Agency*

Employers are clients of your training agency. What is your independent training agency. Please list it here.

Training Role Title*

This professional training role title will identify you as a trainer in our online directory at https://www.asapnys.org/asap-nycb-trainer-directory/.

Business Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Training Website*

Please enter a website where we can find details of your training work.

LinkedIn Profile*

If you do not have a professional LinkedIn profile, enter "N/A." LinkedIn is a free platform for professionals and posting a business profile is highly recommended.

Facebook Page*

If you do not have a Facebook page, enter "N/A"

Twitter*

If you do not have a Twitter account, enter "N/A"

Other social media*

Please enter a web address or, if you don't have other social media, enter "N/A"

Cell Phone*

Directory Photo (to appear on the online directory at https://www.asapnys.org/asap-nycb-trainer-directory/ - JPEG; PNG)*

Course Title 1*

Dates of Delivery *

Course Title 2*

Dates of Delivery *

Course Title 3*

Dates of Delivery *

Other training experience - please give titles and dates of courses you have delivered or co-facilitated*

Are you currently offering peer recovery training (not a requirement for membership)?*

YesNoI plan to in the future

Are you a CCAR RCPF (not a requirement for membership)?*

YesNoIn preparationNot relevant

If yes, please upload your CCAR RCPF cert here

Training Reference Letter (on letterhead and in PDF)*

Must address your qualities as a trainer, come from a professional colleague who understands training, and be presented on letterhead and in PDF

I have signed up for E-news, NYCB's occasional e-newsletter (https://tinyurl.com/ASAP-NYCB-ENews-signup)*

YesNo

I have read and understood the NYCB Trainer Registry Member Standards of Practice (https://www.asapnys.org/trainers-training/)*

YesNo

I have reviewed instructions for submitting my trainings for approval (https://www.asapnys.org/trainers-training/)*

YesNoWill do when I'm ready to submit

My Products*

Current year to 12/31/2024

$60.00

Reinstatement Fee (lapsed members only)

$25.00

Total

$0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Please verify that you are human*

I confirm that the above information is accurate, and I am prepared to substantiate my data if required

Date

Questions about any aspect of the NYCB Trainer Registry program - membership, benefits, training approval, etc. - to:

Ruth Riddick, CARC-RCP/f
NYCB Trainer Registry Program Manager
rriddick@asapnys.org

After you click "APPLY," you will receive a copy of your application via the email address you input above.

At the bottom of that email, you will see a link to "edit this submission" if you wish. Hit "APPLY" again to record your amendments.

Please note that applications received on or before the 15th of the month will be reviewed that month. Applications received on or after the 16th will roll over for review into the following month. NYCB will revert to you to confirm the status of your application in the last week of the review month.

NYCB Trainer Registry Membership Application

Part 1: Trainer Profile

Part 2: Training Experience

Part 3: Next Steps

Part 4: Membership Fees