Peer Ethics, Medication Assisted Tx/Recovery, Spirituality, East Northport, Suffolk Co. 4/21/17

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Date: Apr 21, 2017 - Apr 30, 2017 Time: 9:00 am - 4:30 am
Status: Open Registration Deadline: Apr 10, 2017
Training Site: UR Vitamin Store Address:
250B Larkfield Rd East Northport, NY 11731 Suffolk County

Credit Hours: 0 Credit Types: None Cost: $340 Manuals: Included Schedule:

4/21, 22, 23 & 4/29, 30 (two consecutitve weekends), From 9 am - 4:30 pm

Additional Information:

You can pay at www.healthspan.us.

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?*
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- 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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Peer Ethics, Medication Assisted Tx/Recovery, Spirituality, East Northport, Suffolk Co. 4/21/17

Candidate Information

Candidate Plan

Organization Plan

TOT