Special session BeHOPE Training application

BeHOPE Accelerated Application

October 29, 2024 - December 3, 2024
If you are interested in becoming a registered Medi-Cal Peer Support Specialist please complete the application. Training fees must be paid in full or payment arrangements made at the time of application. Please see the TRAINING fees page on the Sterling Solutions website for more information.
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Date of Birth*

MonthDayYear
MM/DD/YYYY
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

What is your desired occupation?*
File Upload

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If your training is being paid for by another agency, who is paying for your training?
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BeHOPE Accelerated Application