2-Day Supervisor Training

Registration Form

Name(Required)

First Last

Phone(Required)

Email(Required)

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

Yes

Please upload your CPC verification form(Required)

Accepted file types: jpg, gif, png, pdf, Max. file size: 50 MB.

• Are you currently employed?(Required)

Yes

If yes, what organization do you work for?

Do you supervise peers currently?(Required)

Yes

• If not, is it your plan in the future, to supervise peers?

Yes

CAPTCHA

Prioritization is as follows:

Priority 1 – Individuals already supervising peers

Priority 2 – Employed individuals who are on a ‘supervisor track’

Priority 3 – Non-employed individuals