Peer Support Specialist Training - New Opportunity School for Women

Personal Information

Name(Required)

First Last

Date of birth:(Required)

Phone:(Required)

Email:(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Year graduated from NOSW Residential Program:(Required)

Educational Background

Highest level of education completed:(Required)

Eligibility Requirements

I am a graduate of the Berea NOSW Residential Program:(Required)

Yes

I am over the age of 18:(Required)

Yes

I have an active diagnosis of Clinical Mental Health and/or Substance Use Disorder:(Required)

Yes

I am actively engaged in my recovery:(Required)

Yes

I have at least one year of continuous recovery:(Required)

Yes

If you answered no to the last question: How long has your recovery been? (Enter N/A or not applicable if this doesn't apply to you.)(Required)

Essay Questions

Please answer ALL of the following questions in detail.

Why do you want to be a Peer Support Specialist?(Required)

What does your recovery mean to you? What were some important factors in your recovery?(Required)

Why do you think Peer Support Specialists are important in recovery?(Required)

What makes you a good candidate to work in the mental health or recovery field?(Required)

Have you ever been a Peer Support Specialist before? If so, WHEN and WHY did you lose your certification?(Required)

Short Answer Questions

Provide brief but thoughtful responses to ALL of the following questions.

What is your current employment or volunteer situation?(Required)

What do you plan to use your Peer Support certificate for? (Required)

In your recovery journey, what triggers have you identified and what tools do you use to combat them?(Required)

Referral Letter Requirement

Applicants must submit a referral letter from a professional they are actively working with in their recovery. Acceptable professionals include: therapist, psychiatrist, case worker, Peer Support Specialist, AA/NA leader, any other professional you are working closely with to maintain your recovery, or your current employer (only acceptable if employer is aware of your recovery story). The referral letter should address the following: How long have you been working with the applicant? Are they active in their recovery journey? If so, in what ways? If not, please share why. How has the applicant shown improvement in their journey with mental health and/or substance use disorder? Please share how/why you feel this applicant will make a strong Peer Support Specialist. Please upload the referral letter or email it to NOSW at cburton@nosw.org or jwalden@nosw.org

Upload referral letter:

Max. file size: 300 MB.

Submission Instructions

After completing the initial online application, please submit your referral letter and any additional supporting documents via email to: Crystal Burton (cburton@nosw.org) or Jennifer Walden (jwalden@nosw.org). Please put in the subject line: ATTN: (YOUR NAME) / DOCUMENTS FOR NOSW PEER SUPPORT APPLICATION INCLUDED. For any questions, feel free to contact us at (859) 985-7200. We appreciate your interest and look forward to reviewing your application.

By signing and submitting this application, I certify that all information provided is true and accurate to the best of my knowledge.(Required)

Your electronic signature.

Peer Support Specialist Program Application