Hybrid Certified Peer Specialist Training 2026 by cAlm h3Art | Sep 14, 2026 HH27-H2 Name * Name First Name First Name Last Name Last Name Mobile 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 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*** Do you have any of these dietary restrictions? NoneGluten FreeVegetarianVegan 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. * I have read the no show/no call policy and agree to the above statement. * Yes, I agree During testing, the Zoom session will be recorded. Do you consent to possibly being recorded on zoom during the testing process? * Yes, I consent to being recorded This training is a "hybrid" training, with one week in person and two weeks virtual. Please indicate that you understand the hybrid nature of this training. Yes, I understand this is a hybrid training, in person and virtual. Submit If you are human, leave this field blank.
