**Please note that your answers on the supplemental questionnaire must correspond to the information provided on your application to receive credit. Applications that do not include a completed supplemental questionnaire will be considered incomplete and may be subject to disapproval.**
1
Do you possess a Bachelor's degree from an accredited college or university in Nursing, Social Work, Psychology, Education, Counseling or a related field? If you respond YES to this question, please upload your transcript to the application.
Yes
No
2
Explain your professional work experience related to treatment and services to persons with alcohol or other substance use addiction.
Please include name of employer, job title, dates of employment, and hours worked per week, this information must also be reflected in your application. If you do not possess experience in this area, put N/A in the box below.
3
Describe your experience working with citizens who are in a state of recovery. Include experience working in a group setting with citizens who are a state of recovery.
This experience must also be included on your application (please include name of employer, job title, dates of employment and hours worked per week). If you do not possess this type of experience, please indicate N/A.
4
Describe your knowledge of and/or experience with the certificate process for Peer Recovery Specialists, specifically those classified at the I and II level.
This experience must also be included on your application (please include name of employer, job title, dates of employment and hours worked per week). If you do not possess this type of experience, please indicate N/A.
5
Do you possess the ability to receive clearance to provide services within a Detention Center?
Department of Budget and Management