May 2025: Certified Peer Recovery Specialist Training - In Person - Wilmington

Email Address

Important: Confirmation email receipt will be sent to this address.

Additional Information

Name you prefer to be called

Demographic Information

Gender Pronouns (check all that apply)

She/Her He/Him They/Them Other

Age Group optional

18 - 25 26 - 39 40 - 55 56+

Employer/Organization Name

Employer Address

Job Title

In order to take this training, the Delaware Certification Board requires that an applicant have personal lived experience battling their own mental illness and/or substance use disorder that has significantly impacted their lives for an extended period of time. Do you have lived experience? (Please note that at this time, living with a family member/other persons with substance abuse/mental health issues does NOT qualify for you for this training)

Yes. Self- Mental Illness Yes. Self - Substance Abuse Yes. Self - Both/Co-Occuring No.

Are you currently working or volunteering in a peer support position? (Please note that exclusively being a 12-step sponsor is not considered peer support.)

Yes - Paid Yes - Volunteer No

Are you currently working (or volunteering) full-time or part-time in Peer Support? (More than 30 hours a week)

Full-time Part-time

Length of time working/volunteering in peer support.

Approximately how many hours have you worked/volunteered in Peer Support to date?

Supervisor Name

Supervisor Email

Please give a brief description of the general tasks, peer related duties, and responsibilities of your position. (Please be thorough in your response to avoid any delays in processing your application.)

How do you use Peer Support in your role? (Please be thorough in your response to avoid any delays in processing your application.)

What does recovery mean to you? (Please be thorough in your response to avoid any delays in processing your application.)

Sharing your personal recovery story is an essential part of the role of a Peer Recovery Specialist, and you will be required to do so to complete CPRS Training. You will be required to share your personal story and self-identify as a person with lived experience battling their mental health and/or substance use disorder in order to complete CPRS training. If you have personal lived experience with mental illness and/or substance abuse are you willing to share your personal story of recovery?

Yes No

Why do you want to become a Certified Peer Recovery Specialist? (Please be thorough in your response to avoid any delays in processing your application.)

Do you intend to take the Certified Peer Recovery Specialist Exam?

Yes No

On what device do you plan on completing this training? Check all that apply (Please note that completing this course on a cell phone is STRONGLY discouraged)

Home Computer Work Computer Tablet Cell Phone

Do you have any learning differences, or do you anticipate needing accommodations during the exam? If yes, please share below. (Your response will be kept confidential.)

Acknowledgements

I understand that this course is an **advanced level training**. Only people who are already working in the field of Peer Support, or have a significant amount of supervised, documented volunteer hours will be approved for this training.

I understand this, and I believe I qualify for the training. I do not believe I qualify for the training based on the above qualifications.

I understand that this is an application. Completing and submitting this form does NOT mean automatic approval to take the training until reviewed and confirmed by the MHA Peer Services Team.

Yes, I understand this. No, I do not understand this.

I have registered for this training using my email address at my current behavioral health employer (if possible). I understand doing so will greatly prevent application delays.

Yes I have used my employer email address. No, I have used my personal email address.

I allow Peer Services to communicate with my employer/supervisor regarding my application status and participation in this training including confirmation of peer employment/ volunteering, job duties, decisions regarding my application, attendance in training, and issues in training.

I agree to the statement above. I do not agree to the statement above.

Attendance Policy

I have read and agree No, I don't agree

└─

ATTENDANCE POLICY: By registering for a training opportunity with MHA Peer Training Services, you are making an important commitment to your professional development. Likewise, MHA Peer Training Services has made a commitment to meeting the high demand of training opportunities needed to support your development. This partnership in professional development is a shared responsibility. As such, one of your responsibilities is to register and participate in our trainings in a professional manner. The following registration and attendance policies applies to all MHA Peer training programs and are effective immediately. These policies ensure we use our limited resources to train Peer Recovery Specialists effectively in the skills needed to perform the duties required of their position. For the purposes of this policy, attendance is defined as participating in a program as designed, including arriving on time, and staying for all scheduled sessions in their entirety. If you do not register for a training, via MHA Peer Training Services’ online registration system, you may not attend. If you register for training and are unable to attend, you must “unregister” yourself, on the online registration system or contact MHA Peer Training Services, within 48 hours of the training date. Chronic cancelations (not canceling within 48 hours of a training or as a “no show” to a training two or more times in a one calendar year*) will result in all of your future registrations being moved to a wait list status. Emergencies will be evaluated on a case by case basis and may require documentation.

How did you hear about The Mental Health Association in Delaware?

Would you like to join our email lists to stay up to date about most recent trainings, and community events?

Yes, please sign me up for your emails! No, I would not to be on an email list at this time.

How to register multiple people?

How to make changes to my registration?

Have a question? Contact us:

Stephanie Reaves at sr••••s@mha••••e.org