Virtual Peer Supervisor Training for 2027 When? May 10 – May 14, 20271PM – 5PM 100% Virtual Training will be conducted via Zoom Prerequisites Must be a CPC/CPSS certified in WA This training starts on May 10, 2027. Space is limited. Register now to secure your spot! Please fill out the form below to complete your registration and select your priority level. If you have any questions, please contact molly@holdingthehope.com HH27-ST02-VT Name * Name Last Last First First Cell Phone * Email * Home Address * Home Address Home Address Home Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Priority Level * Priority 1: CPCs/CPSSs currently supervising peers Priority 2: CPCs/CPSSs on the supervisor track Priority 3: CPCs/CPSSs any who are wanting to take the training for continued education Company/Organization * Job Title * Work Address * Work Address Work Address Work Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Work Phone * Name you go by: Would you like to share your pronouns with us? Will you need any American's with Disabilities (ADA) reasonable accommodations for training? "***Please note, we need at least 2 weeks notice to make proper accommodations*** Will you need an Interpreter? "***Please note, we need at least 2 weeks notice to make proper accommodations*** Please read and agree to this No Show/No Call statement: I agree to attend all sessions of this training in full and understand that this is a commitment. Holding the Hope Team put in a lot of time and funds to secure trainers throughout each day. If I do not show up, the training may be cancelled affecting everyone else who signed up as well. I understand that if I do not call or show up for the training I signed up for, I may not be allowed to register for another training with Holding the Hope for One Year from the date of the training. I have read the no show/no call policy and agree to the above statement. * Yes, I agree. This training is 100% virtual. Please indicate that you understand the virtual nature of this training. * Yes, I understand this is a virtual training. Are you a Certified Peer Counselor or a Certified Peer Specialist? (You must be a CPC/CPSS to take this training) * CPC CPSS Please note any ADA Accommodations for Training Please read and agree to this No Show/No Call statement: I agree to attend all sessions of this training in full and understand that this is a commitment. Trainers and staff at Holding the Hope put in a lot of time and funds to secure trainers and training spaces and provide food throughout each day and if I do not show up, the training may be cancelled affecting everyone else who signed up as well. I understand that if I do not call or show up for the training I signed up for, I may not be allowed to register for another training with Holding the Hope for One Year from the date of the training. Please upload your CPC or CPSS letter from Washington State (the letter containing your exam results). * Drop a file here or click to upload Choose File Maximum file size: 516MB I have read the no show/no call policy and agree to the above statement. Yes, I agree Submit If you are human, leave this field blank.
