Peer Wellness Specialist Application

  • Peer Wellness Specialist Training Application

  • The role of the Peer Wellness Specialist is to provide peer support, encouragement, and assistance to address physical and mental health needs. In order to do that, it is important that the Peer Wellness Specialist has a working knowledge of the various health care and wellness resources in their community and how to access these services and resources.

    Application Guidelines: Complete applications will be reviewed on a first-come, first-serve basis. Applicants who have not secured funding for the training will not be considered complete.

    Applications submitted within 7 days of the class start date are not guaranteed a spot. Training details and materials will be shared approximately 2 - 4 weeks prior to the training start date for the cohort for which you have applied.

    Cancelation and Refund Policy: If registering two or fewer weeks prior to the training start date, you acknowledge that no refunds will be provided. If you submit a cancellation request two business days or more prior to the training start date, then you will be eligible to use your full training credit towards a future PWS training within a one-year period. No cash refund will be provided.

    For general information or other questions, please reach out to pws@thepeercompany.org.

     

     

  • Please select up to two training options. Do not choose both virtual and in-person in the same month, or any cohort marked FULL.

    There are in-person and virtual trainings available. The options listed are the start & end dates, please see website for full training schedules (https://www.mhaoforegon.org/current-trainings). Dates are subject to change.
  • Virtual Training Dates
  • In-Person Training Dates
  • Format: (000) 000-0000.
  • Do you currently live in a rural community (population of 50,000 or less)?*
  • How do you identify your race, ethnicity, tribal affiliation, country of origin, or ancestry?
  • Have you served in the military?*
  • Employment Status*
  • Are you currently employed as a THW, (CRM, PSS, Doula, Community Health Navigator, Etc.)?*
  • Do you need written materials in an alternate format (Braille, large print, audio recordings, etc.)?*

  • Lived Experience

    Per Oregon Administrative Rule (OAR) 410-180-305, The Peer Company provides the following certificates to participants of its Peer Wellness Specialist training program:

    •  Certificate of completion will be provided to participants who meet all required instruction, demonstrate achievement of all competency requirements, and have life experience as defined in OAR 410-180-305 if applying for Peer Peer Wellness Specialist certification from the Oregon Health Authority. Only a certificate of completion is acceptable proof of training to receive certification from the state.

    •  Certificate of attendance will be provided to those who attend and participate in the training but do not identify as having lived experience.

  • Do you identify as being in recovery from mental health challenges?*
  • Do you identify as being in recovery from a behavioral addiction or substance use issue?*
  • Do you identify as having lived experience of having a physical health condition(s)?*

  • Education and Training

  • Supplemental Questions

  • For VIRTUAL trainings: Do you have access to a tablet, laptop, or desktop computer? (Mobile devices do not allow for full participation throughout training course.)*
  • Does your device have audio and video capabilities?*
  • Do you have access to stable internet connection?*

  • Funding Information

    Funding information is required to submit the application. Tuition assistance resources will be provided if the need is indicated below. Once funding details are verified, applicants will be enrolled and added to the class roster.

  • Payment Information

    The training fee is $1,100.00. If accepted into the training, please make checks payable to The Peer Company. If an invoice is required for payment from an employer or other outside funder, please provide the funder's information below.
  • Format: (000) 000-0000.
  • Should be Empty: