Medication Assisted Treatment/Recovery, New York, (NY), Exponents 4/28/17

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Date: Apr 28, 2017 - Apr 28, 2017 Time: 9:00 am - 5:00 pm
Status: Open Registration Deadline: Apr 26, 2017
Trainers Name: Dona Pagan Training Site: Exponents/Center for Personal & Professional Development Address:
2 Washington Street, 4th Floor New York, New York 10004 New York County

Credit Hours: 6.5 Credit Types: CRPA, CARC Cost: $75 Schedule:

Friday 9:00 - 5:00 PM

Additional Information:

Classroom-content counts towards CARC/CRPA certification, Call (212) 243-3434 for information,

Contact Phone Number: (212) 243-3434

Candidate Information
Name*
First Last
Title
Organization*
Address*
Street Address Address Line 2 City State ZIP Code
Email*
Phone Number*
Fax Number
Role with Organization*
- Volunteer
- Staff
- Other
Please Specify Role*
Candidate Plan
Briefly describe your professional experience with addiction recovery, if relevant*
Briefly describe your personal and/or family history with addiction recovery, if relevant*
Explain why you are interested in this training and how you will use it*
Organization Plan
Explain why your organization/agency is interested in this training*
How will this training be used in the delivery of services? Please be specific in describing how you utilize peer recovery coaches*
In a few sentences, describe why your agency/organization is well qualified to integrate the use of peer recovery coaches and/or this training this time*
TOT
Are you applying for the TOT?*
- Yes
- No
- Not Applicable
Please describe your training qualifications and give examples of the trainings you have delivered along with two references*
Please describe how your organization will use your ability to train recovery coaches*
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Medication Assisted Treatment/Recovery, New York, (NY), Exponents 4/28/17

Candidate Information

Candidate Plan

Organization Plan

TOT