CMHA Certified Peer Specialist Employment Application

CMHA Certified Peer Specialist Employment 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 mental health and/or addictive disease?

Carroll County Mental Health Advocates (CMHA) Certified Peer Specialist (CPS) Application

Thank you for your interest in joining Carroll County MentalHealth Advocates as a Certified Peer Specialist (CPS). This position requireslived experience with mental health and/or addictive disease recovery. Pleasecomplete all sections of this application thoroughly. Incomplete applicationsmay 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 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
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.
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
Date
Required Documents
Upload Resume

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Upload Cover Letter

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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?
Upload Recovery Reference Letter

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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?
Upload Recovery Reference Letter

Cancelof
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?
Upload Recovery Reference Letter

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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 employment.
Signature

Not Eligible for This Position

Thank you for your interest. This position requires lived experience in long-term recovery from mental health and/or addictive disease. Applicants who do not meet this requirement are not eligible for this position.
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CMHA Certified Peer Specialist Employment Application

Carroll County Mental Health Advocates (CMHA) Certified Peer Specialist (CPS) Application

Applicant Information

Recovery Experience

Certifications & Qualifications

Skills & Experience

Background Information

Availability

Required Documents

Required Recovery References

Reference 1:

Reference 2:

Reference 3:

Applicant Acknowledgement

Not Eligible for This Position