Medi-Cal Peer Support Specialist Certification Training

Registration Form


 

Please answer all required items. Before you complete this Registration, you must read both the Parents Anonymous® Medi-Cal Peer Support Specialist Certification Training Policies and Procedures and CalMHSA Medi-Cal Peer Support Specialist Certification - Code of Ethics. If possible, type your name, signature, and date on the last page of the Code of Ethics, save the file, and upload it below. If you do not do this now, you will need to submit it before the training start date if accepted.


At the end of this Registration Form, you must read and sign a Commitment and Acknowledgment that you have read both documents and will follow them if accepted into the training.


To be certified, you must meet the following qualifications:

  1. Be at least 18 years of age or older before the State Certification Test date.
  2. Possess a high school diploma or equivalent degree.
  3. Reside in California.
  4. Be self-identified as having experience with the process of recovery from a mental illness or substance use disorder, either as a consumer of these services or as the parent, caregiver, or family member of a consumer.
  5. Be willing to share your experience.
  6. Have a strong dedication to recovery.
  7. Agree, in writing, to adhere to the Code of Ethics.
  8. Successfully completed the training requirements for a peer support specialist.
  9. Pass the certification examination.


Course tuition is $2,500 and is not charged until this application for Registration is approved. Organizations sending multiple participants can be invoiced.


Currently, Parents Anonymous® offers scholarships that pay the full tuition and test fees for assistance for individuals who qualify. We also offer job placement assistance with supportive services.


Please note that all the training sessions will be recorded for educational purposes and will not be shared publicly.


If you have questions or need additional information, please email training@parentsanonymous.org or call 909-515-8930. Thank You for selecting Parents Anonymous® Inc. as your training and career services provider!

 
 
 
 
mm/dd/yyyy
 
 
Phone
 

Street, City, State, Zip

 
 
 

[check all that apply]

 

**Registration closes 5 days prior to the first day of training.** Please do not select a training session if it falls within the registration cutoff period. This allows you enough time to gather all the required documentation.

 
 

Add preference of days and/or times and any other detail not asked in the form.

 

Thank you!

One of our Peer Training Team will get in touch with you after reviewing your details.

 

NOTICE: The California Department of Health Care Services (DHCS) requires 80 hours of training to be eligible to register for the state Certification Examination. Being absent from coursework whether in hours or days MAY require you to re-take the entire training again.