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: 50 MB. Select the training dates you will attend:(Required)May 12-16, 2025August 18-22, 2025November 17-21, 2025Please 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 Code Product Name(Required) Price: Discount $0.00 Total Credit Card(Required)Card Details Cardholder Name
