RSPS TRAINING

RSPS TRAINING

RSPS/MHPS
Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Recovery Support Peer Specialist Training Application Online e-Learning Training

The Core Training requires stable access to the internet, speakers (or headset), microphone and computer or tablet (no phones). There is an assessment test at the end of the training. A passing score of 70% is required to go on to a specialized training for Recovery Support Peer Specialist (RSPS)
Applicant Eligibility Check List:
I am 18 years of age or older *
*
Yes No
I have a high school diploma or GED yes no*
I am a person with lived experience with my OWN substance misuse/Mental Health Challenges: Yes No*
I have accessibility needs (such as hearing, visual, executive or other considerations) * yes No
If Yes, please describe
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.

We reserve the right to determine participation in our trainings
I have read and understood all of the items in this application and attest that I, myself, filled it out I agree*
Signature*

Powered by Jotform SignClear
Please verify that you are human*
RSPS Training Dates*

My Products

RSPS TRAINING This payment is for the 5 day supplemental training

$600.00

Enter coupon

Total

$0.00

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

Recovery Support Peer Specialist Training Application Online e-Learning Training