Peer Trauma Guide Application
Name
*
First Name
Last Name
Pronouns
Email
example@example.com
Phone Number
Please enter a valid phone number.
This training will discuss topics that may bring up trauma, including suicide, death, abuse, traumatic experiences related to systemic oppression, and other topics that may bring up intense feelings/memories. In order to be certified, participants cannot miss more than 1.5 hours of class time during the 3 day training. Given the intense topics discussed in this training, we want to make sure we can foster a supportive learning environment. Is there anything you would like to discuss with our trainers prior to signing up for this course? / are there any accommodations you need to succeed?
In a few sentences, please tell us why you would like to become a Peer Trauma Guide?
*
Are you currently employed as a Certified Peer Specialist? (If yes, please indicate what organization you work for. If no, just write "N/A")
*
Are you taking this training as a stepping stone to become a CPS? (yes, no, or N/A)
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