Recovery Coach Academy, Cheektowaga, (Erie Co). 4/18/17

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Date: Apr 18, 2017 - Apr 21, 2017 Time: 9:00 am - 4:30 pm
Status: Open Registration Deadline: Apr 7, 2017
Trainers Name: Donna L. Potter Ph.D Training Site: In His Name Outreach (IHNO) Address:
3871 Harlem Road Cheektowaga, New York 14215 Erie County

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

April 18/19/20/21
Time 9-4:30 daily

Additional Information:

Snacks and lunch provided

Contact Name: Traci Archer Office Mgr Contact Phone Number: (716) 464-3681 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?*
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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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Recovery Coach Academy, Cheektowaga, (Erie Co). 4/18/17

Candidate Information

Candidate Plan

Organization Plan

TOT