CARES Recovery Corps Application Survey

About the program:

"CARES Recovery Corps,” (CRC) which will provide localized, accessible, and sustainable peer recovery support services (RSS) in Morris and Passaic Counties, delivered by people with lived experience with addiction and recovery in Morris and Passaic Counties.

Prevention is Key (PIK) will create and launch the CRC to bring Peer to Peer recovery support services to the targeted communities. This will assist individuals, including families and Veterans, in improving their health and wellness, live self-directed lives, and build a sustainable life in recovery. Members of the CRC are Ambassadors because they are a representation of both recovery and PIK. Ambassadors will be trained in the Certified Peer Recovery Specialist Training, to enhance their knowledge and understanding of the services that they will provide to the community. CRC will engage the community through advocacy, relationship building, socialization, connection to recovery resources, and empowerment starting within the first year by conducting outreach and holding special events.

CRC Ambassadors will be a positive force within the communities, bringing hope, strength, and a voice to their local recovery ecosystem. The Ambassadors will be equipped and ready to provide recovery support services to individuals within Morris and Passaic County.

If you want to use your lived experience with experience with substance use and recovery to help others on their recovery journey apply to be part of Prevention is Key’s CARES Recovery Corps. *Successful applicants will receive 46 hours of instruction in the Certified Peer Recovery Specialist Curriculum, 500 hours of peer work, and 25 hours of supervision. Certification fees will be covered.

1.Full Name(Required.)

2.Address(Required.)

3.City, State, Zip Code(Required.)

4.Email(Required.)

5.Phone Number(Required.)

6.Current Employer and Occupation(Required.)

8.Are you available for weekend or evening hours?(Required.)

Yes

No

9.Have you completed the CARES’ Certified Peer Recovery Specialist Training?(Required.)

Yes

No

10.If yes, when did you complete the training? (Please provide cohort number if you can)(Required.)

11.If yes, do you have a copy of your completion certificate?

Yes

No

12.If possible, please upload a photo of your certificate here.

No file chosen

13.Do you have any other certifications? If so, please list them here

14.What is your definition of recovery?(Required.)

15.Why do you want to participate in CARES’ internship program?(Required.)

16.What strengths do you think you would bring to the role of Peer Recovery Specialist?(Required.)

17.Do you have any previous experience volunteering, interning, or working with substance use disorder? (Please describe)(Required.)

18.What activities and practices do you participate in to support your recovery (self-care)?(Required.)

19.How do you envision utilizing the Peer Recovery Specialist certification in your life?(Required.)

20.What does multiple pathways of recovery mean to you?(Required.)

21.What is your view on harm reduction?(Required.)

22.How do you deal with individuals who do not share the same beliefs as you?(Required.)

23.Please list three (3) personal or job related references; Name, Email, Phone(Required.)

Name:

Phone Number:

Email:

Name:

Phone Number:

Email:

Name:

Phone Number:

Email:

24.Do you speak any languages other than English? If so, please specify language & fluency:(Required.)