Get Application For - Pennsylvania Peer Support Coalition - Papeersupportcoalition

This guide provides clear and comprehensive instructions on how to accurately fill out the Application For - Pennsylvania Peer Support Coalition. It is designed to assist users of all experience levels in completing the online form with confidence.

Follow the steps to effectively complete your application online.

1. Press the ‘Get Form’ button to access the application form. This will allow you to open the form in your preferred editor.
2. Begin by entering your full name in the designated field. Ensure that all information is accurate and spelled correctly.
3. Provide your job title and the name of your company in the respective fields.
4. Fill in your address, including address line 1, address line 2 (if applicable), city, state, and zip code.
5. Input your contact details: cell phone, home phone, and business phone numbers. It is important to keep this information up to date.
6. Enter your email address in the personal and business fields as required.
7. Indicate your date of birth and gender in the appropriate fields.
8. Answer the questions regarding your service in the United States Armed Forces and whether you have a family member who has served.
9. Optionally, select your race or ethnicity by checking the appropriate box.
10. Provide emergency contact information, including the contact's name, address, and telephone number.
11. Describe how you heard about the CPS Supervisor’s training program.
12. Specify any accommodations you may need to participate in the training.
13. Write the name of the person who recommended you for this training.
14. Have your clinical supervisor's name and signature included to verify that they are supervising or will be supervising peer specialists.
15. Choose how you plan to pay for the training and complete the respective fields.
16. Indicate if your agency is Medicaid billable.
17. Sign the application to certify that you will supervise Certified Peer Specialists and agree to the training schedule.
18. After completing the form, save your changes, and make sure to download or print a copy for your records. You can then submit the form to the provided address or fax number.

Complete your application online today and take the next step in your professional journey.