Training & Technical Assistance Request
Regional Recovery Hubs 1 & 4
Name
*
First Name
Last Name
Title of Person Requesting Assistance
*
Organization Name
*
E-mail
*
example@example.com
Phone Number
*
Format: (000) 000-0000.
Connect via text
Please Select
Yes
No
County
*
Please Select
Philadelphia
Berks
Bucks
Chester
Delaware
Montgomery
Lancaster
Schuylkill
Zip Code
*
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Type of Organization
Recovery Community Organization
Community Service Organization
Recovery Residency / Transitional Living
Managed Care Organization
Healthcare System / Hospital
Department of Corrections
Government Agency
Social Service Organization
Educational Institution
Other
Request for Training / Technical Support in the following area
Recovery Support Service Integration
Expansion of Recovery Support Services
Introduction to Peer Services
Family Resource and Education Program
Hybrid / Telehealth Support
Peer Supervision
Group Supervision
Recovery Specialist Training CRS/CFRS
CRS Recertification & Training
Recovery Planning
Overdose Prevention & Education
RSS as a Billable Service
Fiscal Management & Sustainability
Using Affirmative Language to Reduce Stigma
Peer Role / Job Descriptions
Developing Peer Run Support Groups
Recovery Housing - License/ Staffing/ RSS Support
Interview Guide / Hiring Process for the CRS/CFRS
Measuring Outcomes
Supporting and Staffing a Recovery Community Center
Building a Volunteer Program
General Information Session
Briefly describe the Training or Technical Assistance you are Requesting today
Submit
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