Kentucky Adult Peer Support Specialist Training 

The next available trainings:

Evening Online Adult Peer Support Training, May 26-30, 4pm - 10pm (EST)

Weekend Online Adult Peer Support Training, June 21-22, & 28-29, 9am - 4:30 pm (EST)

The trainings will be virtual and offered over Zoom

Reflections of Hope: 30-Hour Adult Peer Support Specialist Training Program Application

Thank you for your interest in the KY (APSS) 30-hour training program offered by Reflections of Hope. As part of the application process, you are required to submit two recommendation letters from individuals familiar with your recovery journey. These individuals can include friends, family members, sponsors, etc. The letters must be emailed directly to reflectionsofhopeky@gmail.com and should include your full name to ensure proper identification.

Please note that submitting these letters of recommendation is a state-mandated requirement. Upon receiving your completed application and both letters of recommendation, we will send you an acceptance letter containing additional details about the training and payment information. 

If you have any questions, or to ask about or simple payment plans please feel free to reach out to us,  Call or Text (859) 380-7102 or E-mail  reflectionsofhopeky@gmail.com 

Sign in to Google to save your progress. Learn more
The tuition for participation in this training program is $200.00. Invoices will be sent to your email through PayPal. Payment plans are available; however, attendance to a training session will only be permitted upon receipt of the full tuition payment. All tuition fees are non-refundable. In the event that you are unable to attend or complete the training, you will be allowed to enroll in the next scheduled session at no additional cost.  
*
By checking "I Agree," you acknowledge that you have read, understood, and agree to the terms outlined above, including the non-refundable nature of the tuition, the requirement for full payment prior to attendance, and the option to enroll in a subsequent training session at no additional cost if you are unable to attend or complete the training. ***This acknowledgment only confirms your awareness of the tuition price, and terms and does not obligate you to make any payment today or in the future.***
Required
First and Last Name *
Date of Birth *
MM
/
DD
/
YYYY
Home Address *
Street, City, State, Zip code
Email Address *
This email will be where we send the invoice, Zoom and E-book links, and give to the state for them to set up your state account.    ***Its advised that you use a personal email and not a work email***
Phone Number *
Is it okay to communicate through text from the above number? *
Which training date are you wanting to attend? *
Are you over the age of 18? *
Required
Do you already have a TRISS account with the state of KY? *
If you are or have been a Adult, Youth, or Family Peer Support Specialist, Targeted Case Management, Community Support Associate, etc... You should have one. 
Do you have a High School Diploma or GED? *
Required
Do you have a current or past diagnosis of a mental health, substance use, or co-occurring mental health and substance use disorders. *
Required
Payment Source *
Please select "Self Pay" if you are covering the cost of the training yourself, or "Third Party Payment" if the expense is being handled by an agency, employer, state grant, etc.
Required
If checked Third Party please list them below. 
How did you hear about us? *
How do you believe you can make a positive impact in the lives of others? *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report