Recovery Support Peer Specialist (RSPS) Training Registration 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: 50 MB. Select the training dates you will attend:(Required)Feb 12-16, 2024May 13-17, 2024Aug 12-16, 2024Nov 11-15, 2024Please note: All trainings are online via Zoom from 9am-5pm.Discount Code Product Name(Required) Price: Discount $0.00 Credit Card(Required)Card Details Cardholder Name
