Class / Course Application

Personal Information

Name:

Phone Number:

Preferred Point of Contact

Phone Call

Text / SMS

Other

Address

This will be used purely for billing purposes.

*Note these trainings are based of Idaho laws and requirements, which varies per state.

Were you referred to us?

Education Level:

What course are you applying for?

The Following Questions are for those applying for the Peer and Family Support Course; if this does not apply to you please move forward.

Do you have lived experience with mental health and/or substance use?; if yes, please give a brief description.

How long have you been in a strong place in your recovery?

What does "recovery" meant to you?

Do you have experience raising a child with a behavioral and/or mental health disorder?

What resources and/or supports did you use in your recovery?

What self-care techniques have you used during your recovery?

CSFP - Describe the resources that you have used for your Childs recovery...

CSFP - What does recovery mean for your family?

What strengths do you bring as a CPSS or CFSP?