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40 Hour Peer Training April 7th - 11th, 2025 (Mon-Fri)

Peer Specialist Certification Training Application

The curriculum will address the core domains of: Advocacy, Mentoring, Recovery Support and Professional Responsibility.
Pre-requisite:

·      WRAP or WHAM certificate

·      Highschool Diploma or GED

·      Pass a level 2 background screening

·      Individual with a minimum of two years in recovery from a 
       mental health and/or substance use disorder and/or a care
       giver of a child experience with a minimum of two years in 
       recovery from a mental health and/or substance use disorder
1.Name:(Required.)
2.Address:
3.Phone #:(Required.)
4.Work Email (Can not be personal):(Required.)
5.Please mark all that apply:(Required.)
6.If currently employed, volunteering, or have an offer of employment successful completion of 40 hour peer specialist training please specify with which agency:(Required.)
7.Have you taken Wellness Recovery Action Planning (WRAP) or Whole Health Action Management (WHAM) and have Certificate of Completion?(Required.)
8.In a few sentences please state why do you want to become a peer specialist?(Required.)
9.What qualities do you have that would make you a good candidate to work with other individuals (or families) in the mental health and/or substance use disorders field?(Required.)
10.A minimum of 500 work ​or ​volunteer hours is required to be eligible for State of Florida Certification. How many of these hours do you have that can be documented and verified?  (Required.)
11.What will be your most difficult challenge in attending this training? How will you deal with this challenge?(Required.)
12.Agreement
Please check the box next to the statements that apply.(Required.)
13.Person to Notify in Case of Emergency(Required.)
14.Agreement and Signature
By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a class participant, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.(Required.)