NAMI CA is an approved Vendor of CalMHSA Medi-cal Peer Support Specialist Certification Training.

The registration form will Let NAMI CA know you're interested in the training Cohort. NAMI CA will contact you to confirm space availability.
 
Registration Date(s): 
  • Cohort 4 registration date: 1/13/2023 - 3/23/2023 
  • Cohort 5 registration date: 1/13/2023 - 3/23/2023
  • Cohort 6 registration date: 1/13/2023 - 3/23/2023
Class Start Date(s): 
  • Cohort 4: February 15, 2023 - March 6, 2023 [No Class February 20th, President's Day]
  • Cohort 5: March 8, 2023 - March 24, 2023
  • Cohort 6: March 27, 2023 - April 12, 2023

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* 1. Do you have a scholarship through CalMHSA?

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* 2. If you answered Yes to Question 1, what is your CalMHSA voucher/Unique scholarship ID number?

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* 3. What is your highest degree or level of education you have completed?

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* 4. Which cohorts are you interested in attending?

Please select multiple cohorts that you are interested in, to increase your chance of securing a spot.

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* 5. What is your email address?

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* 6. What is your first name?

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* 7. What is your middle name?

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* 8. What is your last name?

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* 9. Street address

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* 10. City

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* 11. Zip code/Postal code

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* 12. County of residence

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* 13. State/Province

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* 14. Phone number 

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* 15. What is your age range?

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* 16. Which best describes your gender identity?

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* 17. What is your race/ethnicity?

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* 18. Languages spoken other than English?

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* 19. Are you a military veteran?

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* 20. Do you have a disability?

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* 21. Will you require accommodations in order to participate in the training program?

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* 22. If you answered yes to question 21, please send an email to communityengagement@namica.org and specify what accommodations you may need. Otherwise, in a few words, please describe the type of accommodation you will need.

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