BeHOPE MCPSS Training Application Jan 2026

BeHOPE Application
If you are interested in becoming a registered Medi-Cal Peer Support Specialist please thoroughly complete all requested information in the application. INCOMPLETE APPLICATIONS MAY BE DELAYED OR REJECTED.

Important: Applicants requesting a training fee waiver must begin coursework within 72 hours of program acceptance.
Failure to begin module completion within this timeframe may result in forfeiture of the fee‑waiver seat and reassignment to another eligible applicant.

For self-pay applicants payment must be completed prior to orientation. If you are applying under the fee waiver program. Please review the training fee schedule here.
Payment Method

Self PayScholarship another organizationBeHOPE Training Voucher
If you have a scholarship or your training is being paid for by another agency, what is the name of the agency paying for your training?
Personal Information
Name*

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

Government Assistance Information
Are you a CalWORKs/TANF Participant?*

YesNoHave applied and are waitingDecline to answer
Are you currently receiving CalFRESH (i.e. food stamps) benefits?*

YesNo
Are you an SSI/SSDI (social security) recipient?*

YesNoNot Applicable

Demographic Information II
Are you currently struggling with Homelessness?*

YesNoNot homeless but close (in transitional housing, facing eviction)
Are you Justice-Involved? (Have you spent time in jail/correctional facility/prison?)*

YesNoDecline to answer
Do you struggle with low levels of English literacy? (Do you struggle to understand, read, write, or use English at a functional level)*

YesNo

BeHOPE Application