Recovery Coach Academy, Long Island City (Queens), 5/22/17

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Date: May 22, 2017 - May 26, 2017 Time: 8:30 am - 5:00 pm
Status: Open Registration Deadline: May 12, 2017
Trainers Name: Aisha Muhammed and Charlene Payne Training Site: DOHMH Address:
42-09 28th st Long Island City, New York 11101 Queens County

Credit Hours: 30 Credit Types: CASAC, CPP, CPS, CRPA, CARC Cost: Free Manuals: Included Schedule:

Monday - Friday
8:30 am - 5:00pm

Additional Information:

Breakfast and Lunch served
MetroCards

Contact Name: Lila Boyer Contact Phone Number: (347) 396-4992 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*
Comments
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Recovery Coach Academy, Long Island City (Queens), 5/22/17

Candidate Information

Candidate Plan

Organization Plan

TOT