Peer Professional Supervision, New York (New York Co.) 10/12/18

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Date: Oct 12, 2018 - Oct 26, 2018 Time: 10:00 am - 5:00 pm
Status: Open Registration Deadline: Oct 10, 2018
Trainers Name: Dona Pagan Training Site: Exponents Center Address:
17 Battery Place 8th Floor New York City, New York 10004 New York County

Credit Hours: 12 Credit Types: CASAC, CRPA, CARC Cost: $100 Schedule:

Classes held on two Fridays

Additional Information:

To register please call Rafael Acosta at 212-243-3434 ext. 350

Contact Name: Dona Pagan Contact Phone Number: (212) 243-3434 Contact Email Address: [email protected]

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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Peer Professional Supervision, New York (New York Co.) 10/12/18

Candidate Information

Candidate Plan

Organization Plan

TOT