WEST VIRGINIA CERTIFICATION BOARDFOR ADDICTION AND PREVENTION PROFESSIONALS

I hereby certify that the statements contained in this application and supporting documents, given for consideration of my application for certification as a Peer Recovery Support Specialist are, to the best of my knowledge, true and correct. I acknowledge that fees are non-refundable. I hereby certify that I have read and subscribe to and abide by the IC & RC Code of Ethics available on the WVCBAPP website. I authorize the Board to conduct inquiries or interviews as they deem necessary. I hereby certify that I have personally completed this application. I attest and affirm no other person or entity, including but not limited to my employer, may complete this application on my behalf.