Recovery Support Peer Specialist Training Registration – $450 Name(Required) First Last Phone(Required)Email(Required) Address(Required) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code In order to register, you must have completed the Core Training. Have you completed this?(Required) Yes No Please upload your certificate of completion for the Core Training(Required) Drop files here or Select files Max. file size: 128 MB. Select the training dates you will attend:(Required)August 18 – 22, 2025November 17 – 21, 2025Feb 16 – 20, 2026May 18 – 22, 2026Aug 17 – 21, 2026Nov 16 – 20, 2026Please note: All trainings are online via Zoom from 9am-5pm.How did you hear about this training?(Required) Online search (i.e. Google) Coworker/colleague Social media Friend/Family Community event or workshop Other Discount CodeProduct Name(Required) Price: Discount $0.00 Total Credit Card(Required)Card Details Cardholder Name
