Peer Supervision ST Trainings Waitlist

Peer Supervision Trainings Waitlist Registration

Please note: Participants cannot miss more than 1.5 hours of training and receive a certificate of completion.

Please fill out the form below. Location details will be provided by email after registration in approved.

If you have any questions, please contact events@holdingthehope.com

HH25-ST Waitlist_Peer Supervisor Training

Which Training are you wanting to register for?

Name

Name

Last
Last

First
First

Email

Phone

Home Address

Home Address

Home Address

Home Address

City
City

State/Province
State/Province

Zip/Postal
Zip/Postal

Are you currently employed?

Yes

No

Company/Organization you are currently employed with:

Are you a Certified Peer Counselor / Certified Peer Specialist? (You must be a CPC/CPS to take this training)

Yes

No

Please upload a copy of your CPC or CPS certificate for verification:

Maximum file size: 516MB

If the name on your certificate is different, please list it here and explain.

I currently supervise peers.

Yes

No

If you are not currently supervising peers, is it your plan in the future, to supervise peers?

N/A

Yes

No

Your Preferred Pronouns

Please note any ADA Accommodations for Training

Please let us know if you require any of these dietary options.

Will you bring a service animal to training? If so, what type of animal is it and what services does the animal support you with?

We will only allow up to two service animals during the training week. If there are more than two service animals at training, we will need to get you into the next training session.

Do you have allergies to animals? If so, please indicate which type of animal you are allergic to.

If you are human, leave this field blank.