CMHA Peer Support Volunteer Application

CMHA Peer Support Volunteer Application

Complete all sections thoroughly to apply for the Certified Peer Specialist position with Carroll County Mental Health Advocates.
Are you a person in long-term recovery from addictive disease?

Carroll County Mental Health Advocates (CMHA) Peer Support Volunteer Application

Thank you for your interest in joining Carroll County Mental Health Advocates as a peer support volunteer. This position requires lived experience with addictive disease recovery. Please complete all sections of this application thoroughly. Incomplete applications may not be considered.
Applicant Information
Legal Name

First NameMiddle NameLast NameSuffix
Preferred Name

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

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Do you currently have reliable transportation?
Do you possess a valid Driver's License
Recovery Experience

We value authentic lived experience and personal insight. Please answer all questions in your own words and draw from your own recovery journey, experiences, and understanding of peer support. The use of AI-generated responses (including ChatGPT, Gemini, Claude, Copilot, or similar tools) is prohibited. Applications containing AI-generated content will not be scored, as our review process is designed to evaluate each applicant's unique voice, perspective, and lived experience.
Please tell us about your recovery journey and what long-term recovery means to you.
What motivates you to become a Certified Peer Specialist?
How has your lived experience prepared you to support others in recovery?
Describe your understanding of maintaining ethical boundaries and professionalism in peer support.
How do you honor and support multiple pathways to recovery without imposing your own beliefs?
Certifications & Qualifications
Please note that certification is not required to participate as a volunteer. However, if you are interested in pursuing certification, we are happy to support and guide you through that process!
Please select all certifications that you currently hold:

Other
Please upload copies of relevant certifications.

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Skills & Experience
Do you have experience facilitating groups?
If yes, describe your group facilitation experience.
Do you have experience working in behavioral health, recovery support,peer support, treatment, or community services?
If yes, please describe your experience. (If no, please type N/A in the following field.)
Are you proficient with:

Other
If Other, please explain.
Background Information & Driving Record
Do you currently have any pending criminal charges, active criminal cases, pending civil litigation, or unresolved legal matters?
If yes, please explain the nature of the pending case(s), including the type of case, current status, and any upcoming court dates. (If no, please type N/A in the following field.)
NOTE: A "Yes" response does not automatically disqualify an applicant from employment. Information provided will be reviewed on a case-by-case basis and considered only as it relates to the responsibilities of the position and applicable laws.
Do you have a valid driver's license and a driving record that meets the requirements for volunteer duties involving transportation or driving on behalf of CMHA/The Recovery Spot of West Georgia?
If applicable, please provide any relevant information regarding your driving history that may impact your eligibility to perform volunteer duties.
Availability
Which days are you available?
Community outreach events, recovery celebrations, trainings, and special programs may occasionally occur during evenings and weekends. Please indicate your general availability for these opportunities.
Please indicate when you are generally available to attend work-related events outside of normal business hours. (Select all that apply.)
If you selected Limited Availability, please explain. (If not, please type N/A in the following field.)
Are you willing to travel within the service area as needed?
When would you be available to start?

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Required Documents
Upload Driver's License

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Upload Resume

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Additional Supporting Documents

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Required Recovery References

Please provide three individuals who can attest to your growth and stability in recovery excluding family members. Letters may be uploaded separately or included with contact information below.
Reference 1:
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Relationship to You
How many years have they known you?
Reference 2:
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Relationship to You
How many years have they known you?
Reference 3:
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Relationship to You
How many years have they known you?
Applicant Acknowledgement
I certify that all information provided in this application is true and complete to the best of my knowledge.
Signature
I understand that this position requires adherence to Certified Peer Specialist ethical standards, professionalism, confidentiality, and recovery-oriented principles.
Signature
I understand that submission of this application does not guarantee an interview or secure a volunteer role with CMHA/The Recovery Spot RCO.
Signature

Not Eligible for This Position

Thank you for your interest. This volunteer position requires lived experience in long-term recovery from addictive disease. Applicants who do not meet this requirement are not eligible for this position.
Should be Empty:

CMHA Peer Support Volunteer Application

Carroll County Mental Health Advocates (CMHA) Peer Support Volunteer Application

Applicant Information

Recovery Experience

Certifications & Qualifications

Skills & Experience

Background Information & Driving Record

Availability

Required Documents

Required Recovery References

Reference 1:

Reference 2:

Reference 3:

Applicant Acknowledgement

Not Eligible for This Position