Wellness Recovery Action Plan (WRAP)
Application
Name
First Name
Last Name
Continue
Continue
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Are you a Peer Support Specialist?
Yes
No
Have you taken WRAP before?
What is your reason for taking WRAP?
To further gain knowledge and experience of pathways to recovery.
To help manage stressors
To become a Certified Peer Support Specialist
To become a Level II WRAP Facilitator
Other
WRAP has to be renewed every two years to be in compliance with NCCPSS program. Do you agree to be mentored by facilitator to stay up to date?
Yes
No
Please sign.
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