ACP Peer Support Employee Onboarding

ACP Peer Support Employee Onboarding

Complete your onboarding packet, training/credential dates, acknowledgments, and open-ended assessments; submit to start ACP review (not state exam or automatic clearance).
Employee Information & Contact Details
Provide your date of birth, Social Security number and payroll details only through ACP’s designated secure payroll process. Do not enter them in this onboarding form or upload tax/I-9, banking or health records here.
Full Name

First NameMiddle NameLast Name
Preferred Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Mailing Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Job Title
Employee Type
Employee ID
Availability & Scheduling
Days Available to Work
Earliest Start Time

Hour Minutes

AM/PM Option
Latest End Time

Hour Minutes

AM/PM Option
Preferred Shift

Other
Date Available to Start

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Scheduling Constraints or Notes
Emergency Contact
Emergency Contact Name

First NameLast Name
Relationship to You
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Alternate Contact Name and Phone Number (optional)
Employment Document Completion Checklist
Check only completed items. Do not upload tax forms, I-9 documents, SSNs, banking details, health records or client information here.
Documents completed through ACP's separate designated process
Employment packet received
Packet items completed by employee
Missing documents status
Documents completed or acknowledged notes
Outstanding document follow-up comments
Policy Acknowledgments & Handbook Receipt
Policy acknowledgments

Other
Employee Handbook receipt status
Policy packet receipt status
Comments on handbook or policy packet
Acknowledgment signature
Acknowledgment date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Follow-up acknowledgment after review

Other
NC CPSS Certification, Credentials & Training Evidence
Submitted for ACP review. Completion does not authorize independent client work; RN/QP evaluates skills and ACP approves duties separately.
NC CPSS certification number
NC CPSS certification issue date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
NC CPSS certification expiration date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Upload NC CPSS certificate or credential document

Cancelof
Upload training completion evidence

Cancelof
Current NC Medicaid Policy 8G PDF
NC CPSS Code of Ethics and Conduct download page
SAMHSA peer worker core competencies PDF
NC CPSS online ethics and boundaries courses
NC CPSS overview video and certification information
CDC naloxone instruction videos
Peer Role Acknowledgment
I acknowledge the core responsibilities of the peer-support role

Other
I understand the boundaries and limitations of the peer-support role

Other
Acknowledgment statement
Employee signature and date
Training Links & Training Log
Training log details
SAMHSA overdose prevention and response toolkit PDF
NC CPSS webinar schedule for ongoing education
Upload training evidence

Cancelof
Completion date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Course title
Training link / URL
Evidence provided

Other
Open-Ended Assessment Questions
1. A person chooses a recovery goal different from the one you prefer. How do you respond?
2. Give a brief example of helpful lived-experience sharing and explain how you keep the focus on the person.
3. A person offers you a valuable gift or asks to borrow money. Explain your response and follow-up.
4. A family member asks for private information about an adult receiving services. What must you check before sharing?
5. A person expresses an immediate threat of serious harm. Explain your next steps using ACP’s crisis procedures.
6. An opioid overdose is suspected. Explain how you obtain emergency help and apply your product-specific overdose-response training.
7. A visit was scheduled for 60 minutes but direct service lasted 35 minutes. What time do you document? What if you are unsure?
8. Your certification expires before your next scheduled client visit. What should you do?
9. Write a fictitious peer-support note for coaching a person through a self-selected recovery task. Include actual timing, purpose, intervention, response, and next step. Use no real client identifiers.
10. You are assigned someone you know personally, or work is affecting your own wellness. How do you address boundaries, supervision, and possible reassignment?
Confidentiality / HIPAA review status
Confidentiality / HIPAA initials
Client rights review status
Client rights initials
Abuse, neglect, and exploitation reporting review status
Abuse, neglect, and exploitation reporting initials
Boundaries, gifts, money, and social media review status
Boundaries, gifts, money, and social media initials
Emergency incidents review status
Emergency incidents initials
Infection prevention and PPE review status
Infection prevention and PPE initials
Attendance and callouts review status
Attendance and callouts initials
Timekeeping and documentation review status
Timekeeping and documentation initials
Workplace conduct, harassment, and safety review status
Workplace conduct, harassment, and safety initials
Transportation, property, and role limits review status
Transportation, property, and role limits initials
Employee Attestation & Signature
I confirm that the information and training completion I report are accurate. I acknowledge only policies actually received and reviewed. Missing items and questions require ACP follow-up. This form does not authorize independent client services.
Employee Signature
Date Signed

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

ACP Peer Support Employee Onboarding

Employee Information & Contact Details

Availability & Scheduling

Emergency Contact

Employment Document Completion Checklist

Policy Acknowledgments & Handbook Receipt

NC CPSS Certification, Credentials & Training Evidence

Peer Role Acknowledgment

Training Links & Training Log

Open-Ended Assessment Questions

Employee Attestation & Signature