ApplicationPlease enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Legal Name (as on your ID) *FirstLastPreferred NamePreferred Pronouns *Phone Number *Social Security Number or Worker ID Number *Mailing Address *City *State *ZIP Code *Email (to be used for all class-related contact) *Confirm Email *Which class session are you applying for? *April 5, 12, 19, 26, May 3 2024October 4, 11, 18, 25, November 1What format are you planning to attend in? *via Zoomin the CMI Boise officeAre you at least 18 years of age? *YesNoDo you identify as someone in ongoing recovery from mental illness or co-occurring disorder (mental illness + substance use disorder) for at least one year? *YesNoDo you have a high school diploma, GED, or higher education, and the ability to provide documentation of your education when applying for certification? *YesNoAre you willing to share your experience with mental illness and recovery with co-workers and peers? *YesNoDo you have a genuine desire and commitment to help others with their own recovery? *YesNoDo you feel capable of setting healthy boundaries and letting go of responsibility or obligation for the behavior and choices of those you work with? *YesNoAre you willing and able to work as a team member with other mental health providers? *YesNoDo you have access to a computer with a webcam, microphone, and high-speed internet connection, or prefer to attend a class in person at our Boise office? *Yes, computer, webcam, and internetYes, in person in BoiseNoIf attending via Zoom, will you be able to attend the class from a reasonably private area for the full required time each training day? *YesNoI have read and agree to abide by the Idaho Certified Peer Support Specialist Code of Ethics *YesNoI understand that, if accepted for training, I will be required to provide a photocopy of my government-issued photo identification to CMI. *YesNoI understand that, if accepted for training, I will be expected to attend and participate for the full 40 hours of the class. *YesNoI agree, if accepted for training, to communicate any barriers or emergencies that affect my ability to attend or participate in class effectively to the facilitators immediately. *YesNoI understand that completing this application only begins the process, and I will also need to submit 2 letters of recommendation (outlined in the Readiness Guide), a lived experience essay, and participate in a video interview via Zoom before being accepted into the course. *YesNoI understand that, if accepted into this training, my payment will be due no later than 8 days before training begins and I will not receive my training materials until payment is received. *YesNoI understand that, by state requirements, an 80% or better is required for successful class completion, and of that score, 3/4 will be from the exam and 1/4 will be from participation. *YesNoDo you anticipate needing any special accommodations for completing the course or final exam? *YesNoI understand that it is my responsibility to apply for certification with BPA after successfully passing the training course *YesNoI understand that successful completion of this course does not guarantee certification or employment. *YesNoI understand that, while working in this field, most paid time is by the billable hour. *YesNoI understand that most peer support employment will require that I have access to reliable and legal transportation. *YesNoI understand that employment as a peer support specialist generally requires that I pass an enhanced criminal background check. *YesNoI understand that writing, reading, and working on a computer are generally necessary for working as a peer support specialist. *YesNoIf accepted, what funding source do you hope to use? *SelfEmployerVocRehabOtherIf accepted, can you access the Boise office or do you need your materials shipped to you for an additional $25? *Yes, I will pick up my bookNo, ship to me for an additional $25I have read and verify that I understand the Peer Support Training Readiness guide from this website. *YesNoWhere did you hear about us?Submit