Recovery Coach Academy, Cheektowaga, (Erie Co.), 5/15/17

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Date: May 15, 2017 - May 20, 2017 Time: 5:00 pm - 9:00 pm
Status: Open Registration Deadline: May 5, 2017
Trainers Name: Donna Potter, PhD Training Site: In His Name Outreach Address:
3871 Harlem Road Cheektowaga, New York 14215 Erie County

Credit Hours: 30 Credit Types: CARC Cost: $625 Manuals: Included Schedule:

M-F 5-9
Saturday 9-6

Contact Name: Traci Archer Contact Phone Number: (716) 464-3681 Contact Email Address: [email protected]

Candidate Information
Name*
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Title
Organization*
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Street Address Address Line 2 City State ZIP Code
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Role with Organization*
- Volunteer
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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*
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Recovery Coach Academy, Cheektowaga, (Erie Co.), 5/15/17

Candidate Information

Candidate Plan

Organization Plan

TOT