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To pre-register, you must complete each response

Please note that the pre-registration will not be complete unless all questions are fully answered. Thank you! The training is 20 days (four weeks), M-F, 8:30 am- 12:30 pm. A laptop or desktop computer is required, but you may substitute with a tablet or iPad just not a smartphone. Participants may not miss more than 8 hours total. Please note that the pre-registration is not a guarantee of enrollment. After individuals pre-register and we get about three weeks out from the start date of the training, you will start receiving requests for your response. Only those who are responsive in a timely manner will be enrolled. Those who are not responsive or are late in their response may be wait listed for a future class.

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* 1. What is your full name (must match your Driver's License or state issued ID)?

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* 3. Choose your training dates. Please note that the class size is limited in order to keep the learning experiential and supportive. There is a chance that you may be waitlisted for a given date selection. You will be notified as soon as practicable if you will be waitlisted. After you pre-register, we contact you through email to schedule your required 1 hour orientation and full registration. Individuals who respond to our emails and show up for their scheduled orientation are prioritized.

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* 4. What is the best phone number to contact you?

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* 5. What is your email address?

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* 6. In a few words, please describe your interest in this training program.

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* 7. Participating in this training program requires you to have a lived recovery experience defined as personal experience of being a consumer of mental health or substance use disorder services, or as a parent, family member or direct care supporter of someone who does.  Do you have a lived recovery experience, as defined here?

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* 8. What is your employment or volunteer status?

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* 9. What is the title of your employment/volunteer position?

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* 10. What is the name of your employer & program or volunteer placement site?

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