• CRPS Candidate Onboarding and Readiness Form

    Share your background, recovery readiness, training availability, and communication preferences to support your onboarding.

  • Page 1: Candidate Information

  • Date of Birth*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Format: (000) 000-0000.
  • Best Contact Time

  • Page 2: Interest and Goals

  • Which certification pathway are you most interested in?*

  • Page 3: Recovery Readiness

  • Recovery or sobriety start date
     - -
    2 digit month, 2 digit day, 4 digit year
  • Current recovery stability*
  • Do you have a sponsor or accountability partner?*
  • Recovery supports
  • Are you currently facing any recovery-related challenges?*

  • Page 4: Background and Eligibility

  • Notice on Background Disclosures
  • Have you had any current or past charges, convictions, probation, parole, or pending legal matters?*
  • Are there any restrictions that could affect your ability to serve in healthcare, justice, reentry, housing, or with vulnerable populations?*
  • Are you willing to complete background screening and fingerprinting if required?*

  • Page 5: Training Hours and Availability

  • Willing to complete required training and supervised service*
  • Current training status*
  • Training completion date
     - -
    2 digit month, 2 digit day, 4 digit year
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  • Weekly availability and preferred service settings*
  • Reliable transportation*
  • Earliest start date*
     - -
    2 digit month, 2 digit day, 4 digit year

  • Page 6: Support Needs

  • Do you need help identifying approved training?*
  • Do you need financial assistance?*
  • What support do you need?*

  • Page 7: Communication and Commitment

  • Able to attend onboarding as needed*
  • Preferred communication format*
  • Acknowledgments*

  • Page 8: For FLC Staff Use Only

  • Initial Contact Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Primary Barriers Identified
  • Referrals Made
  • Next Appointment
     - -
    2 digit month, 2 digit day, 4 digit year
  • Should be Empty: