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RSN Recovery Coach Academy Registration
Thank you for your interest in attending our CCAR Recovery Coach Academy! We will email you next steps upon receipt of this form.
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First Name
*
Your answer
Last Name
*
Your answer
Preferred Pronouns
*
Your answer
Email Address
*
Your answer
Phone Number
*
Your answer
What community organization are you affiliated with?
*
Your answer
Title/Organizational Position
*
Your answer
What is your organization's service area?
*
Alamance
Chatham
Durham
Orange
N/A
Other:
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I understand that I must be able to attend all 5 days to receive Recovery Coach Certificate
*
YES
Required
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