Certified Recovery Residency Administrator Provisional (CRRA-P)

Certified Recovery Residence Administrator Provisional (CRRA-P)
To apply, you must meet the following criteria:
- Be able to show proof of Formal Education (High School Diploma/GED)
- Be able to submit the Level 2 Background Check Forms to your Certification Specialist (Forms will be sent to you after submission and payment is recieved)
- Be able to submit the CRRA Training Verification Form & Supporting Documentation
This application collects initial information to begin the certification process. You will submit documentation of your education and CRRA training.

Once these requirements are approved by the Board, you may register for the CRRA-P exam. The CRRA-P credential is awarded after passing the exam.

For more details, refer to the CRRA requirements document.

Your Personal Information
Title*
First Name*
As shown on your government issued Identification.
Preferred Name
If you go by a name other than what is on your government issued Identification.
Middle Name
As shown on your government issued Identification.
Last Name*
As shown on your government issued Identification.
Suffix
Social Security Number*
Phone Number (personal)*

Area CodePhone Number
Email Address (personal)*
example@example.com
Date of Birth*

MonthDayYear
Date
Gender*
Race*
Ethnicity*

Mailing Address & Employment Information
Mailing Address (personal)*

Street Address

Street Address Line 2

CityState

Zip Code
Current Employer Name*
Current Employer Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Employer Phone Number*

Area CodePhone Number
Employer Website

Criminal Background
Have you ever been convicted, pleaded no contest, or had an adjudication of guilt withheld for any crime that is a felony or 1st-degree misdemeanor?*

Yes (If yes, the Board will contact you for additional information.)No
I understand that the Board will conduct a criminal history check as part of the application process, and my certification does not waive any employment-related criminal history requirements.*

Yes
I understand that if I am found guilty of a first-degree misdemeanor, any felony, or otherwise deemed ineligible to work with the behavioral health population, my credential will be placed in summary suspension status pending the outcome of any necessary investigation by the Board into my conduct.*

Yes
I understand that the Board's Code of Ethical and Professional Conduct is posted on the Board's website and it is my responsibility to download, read, understand, and comply with the Code as well as the published Disciplinary Procedures.*

Yes

Formal Education

The CRRA-P requires a high school diploma, general equivalency degree, or higher. Please enter the information about your highest level of education completed.
Name of School*
City/State*

Street Address

Street Address Line 2

CityState

Zip Code
Formal Education Level*
Program of Study/Major*
Month and Year of Graduation*

MonthDayYear
Date
You are required to provide a minimum of a high school diploma and/or transcripts.

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Content Specific Training
Applicants must complete 100 hours of peer specialist training within the 10 years before application.

The CRRA training requirement can be met in one of the following ways. Select the way you will submit training documentation.
- I completed a Board approved 100-hour CRRA training program within the 10 years prior to application.
- I completed multiple training events that, in total, met the 100 hours training requirement.
Applicants are responsible for providing training documentation to the Board in a clear and organized manner.
1. Download the CRRA Training Verification Form from the Board’s website.
2. Complete the form by entering the requested information.
3. Collect certification or training documentation, assemble documents in the same order as listed on the CRRA Training Verification Form, create an electronic file of training documentation.
4. Submit the completed CRRA Training Verification Form and the training documentation to your assigned certificaiton specialist.
Select the “Browse File” button to upload your electronic NCPS Training Verification Form file.*

File formats: pdf, doc, docx, txt, wpd, xls, xlsx, jpg, png (max size 20mb)
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Attestations
I give my permission to the Board and its staff to investigate my personal and professional background as it relates to this application for professional certification, to include all provided information, statements of understanding, agreements, and associated supporting documents used to determine and verify my eligibility for certification.*

Yes
I consent to the release of the information contained in my application, including all supporting documentation and any other pertinent source of information collected by or submitted to the Board in relation to my application to its officers, staff, members of the Board of Directors, and members of Board advisory councils and review committees.*

Yes
I understand that this application, including all supporting documentation, must be approved by the Board in its entirety before I will be approved to register for and take any required examinations.*

Yes
I understand that my credential will be issued after I earn a passing score on any required examinations.*

Yes
I understand that I am required to earn the credential within 12 months of application. If I fail to earn the credential in the 12-month period, I may request the option to pay a continuation fee to keep my application active.*

Yes
I understand that all Board fees are non-transferable and non-refundable.*

Yes
I believe that I am qualified for the level of certification for which I am applying, have submitted correct information in my electronic application, have sought supporting documentation from required sources, and expect to sit for the required examination(s) and hold the credential I am seeking within 12 months or less of application.*

Yes
Payment Acknowledgment

I understand that a $100.00 fee will be required inside of your already created FCB profile to complete this application. This fee is separate from this form submission and is non-refundable.
Acknowledgment*

I understand and acknowledge responsibility of this fee
Electronic Signature*

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Certified Recovery Residence Administrator Provisional (CRRA-P)

Your Personal Information

Mailing Address & Employment Information

Criminal Background

Formal Education

Content Specific Training

Attestations