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Application for Bucks County Certified Peer Specialist (CPS) Training political program reboot: ________________________________________________Date: ________________________ Referred by: (name of Organization and/or Title) or self __________________________________ grow Range: 18 - 25 ____ 26 54____ 55+_____ (for demographic purposes only) Your Street mete out, City, State and Zip computer code: _________________________________________ _____________________________________________________________________________ Your Email Address: ________________________________________________________________ Can you check your email inbox weekly? Yes______ No_______ Telephone Number(s): Home____________________ Cell_________________________________ Do you turn out a menses valid PA drivers license? Yes______ No_______ If yes, do you have access to a vehicle? Yes______ No______ Have you ever so applied for services at the Office of Vocational replacement (OVR)? Yes______When?_________No_______ If yes, do you before long have an OVR counselor? Yes______Name__________________ Are you currently working in a peer support theatrical role?

Yes______ No_______ If yes, state where and briefly what you argon doing: ____________________________________________________________________________________ Qualifications atomic number 18 set by the Commonwealth of Pennsylvania and ar requirements for concern as a Certified Peer Specialist. The qualifications are: You mustiness be able to identify yourself as a soulfulness who has received or is receiving services for a overserious rational unhealthiness or co-occurring in commode. The definitions for serious menta! l illness and co-occurring complaints are a diagnosis of one or more(prenominal) of the following: schizophrenia, a major affective pique disorder (including significant mood disorders such as depression and bi-polar disorder), a psychotic disorder or a borderline character disorder. A person who identifies themselves as co-occurring is defined as a person with a serious...If you want to get a full phase of the mope essay, order it on our website: OrderEssay.net

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