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 Cohort. NAMI CA will contact you to confirm space availability, If you are a scholarship recipient, you will have priority registration.
Registration Date(s): 
  • Cohort 1 registration date: 10/20/2022 - 11/22/2022 
  • Cohort 2 registration date: 10/20/2022 - 12/27/2022 
Class Start Date(s):  
  • Cohort 1: November 30, 2022 – December 16, 2022 [Priority to Scholarship Recipients]
  • Cohort 2: January 4, 2023 – January 23, 2023 [No class January 16, Martin Luther King Jr. Day]  
  • Cohort 3: January 25, 2023 - February 10, 2023
  • 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/Scholarship ID number?

If you do not have one, please state N/A

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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?

(Priority is given to those with Scholarships, if you do not have a scholarship please select Not Applicable and answer the next question.)

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* 5. 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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* 6. What is your email address?

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* 7. What is your first name?

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* 8. What is your middle name?

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* 9. What is your last name?

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* 10. Street address

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* 11. City

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* 12. Zip code/Postal code

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* 13. County of residence

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* 14. State/Province

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* 15. Phone number

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* 16. What is your age range?

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* 17. Which best describes your gender identity?

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* 18. What is your race/ethnicity?

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* 19. Languages spoken other than English?

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* 20. Are you a military veteran?

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* 21. Do you have a disability?

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

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* 23. If you do need an accommodation, please specify the type of accommodation you will need

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