NRFPRP Certification Application
The Blueprint for Your Career's Next Chapter.
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number #1
*
Please enter a valid phone number.
Format: (000) 000-0000.
Phone Type
*
Home
Work
Cell
Phone Number #2
Please enter a valid phone number.
Format: (000) 000-0000.
Phone Type
Home
Work
Cell
Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
How long have you been in recovery?
*
I have been in recovery for at least a year.
I have been in recovery for less than 12 months.
N/A - Does not apply. I am an ally.
Upload documentation of state or national certification OR 60 hours of relevant training AND verification of volunteer work, internship or employment with relevant organization or agency.
*
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Acknowledgements:
*
I acknowledge that I have read the NRFPP Code of Ethics and Code of Conduct. I understand that I am required to follow the professional standards of conduct detailed in both the NRFPP Code of Ethics and Code of Conduct.
*
I consent to the release of my information contained in my candidate application file or other pertinent data submitted to or collected by PARfessionals staff and contractors.
*
I acknowledge that the above material is true, to the best of my knowledge. I give permission for NRFPP and its staff to investigate my work and educational background, contact employers and those who have given me recommendations. I understand that false statements, omissions, or alterations may disqualify me as a candidate.
*
I hold PARfessionals, its officers, board members, staff and testing vendor, Classmarker.com from any civil liability for damages or complaints by reason of any action that is within the scope of the performance of their duties which they take in connection with this application and subsequent examinations and/or failures of the PARfessionals to issue certification.
*
I understand that all statements on this application are subject to verification.
*
I understand that my electronic signature below is legal and binding (might want to run this one by attorney for correct language).
Payment
*
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Application Fee
NRFPRP Certification
$49.00
$
49.00
Quantity
1
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Expiration Month
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Month
Expiration Year
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
Expiration Year
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