Peer Training Programs and Initiatives for Mental Health Consumers

Please include as much information as possible. TA Center staff will follow up with all programs/initiatives, using the contact information provided.

Name of Program/Initiative

Training description (what are the participants being trained to do?):


Training outcomes (check all applicable):

participants receive certificate of completion
participants are tested on knowledge acquired
participants receive certification
participants receive academic credit/CEUs/CMEs

        Other:

Length of training:

Location(s) of training:

Is there a fee to participate?

Yes No

If yes, how much?

Who can participate in training?

Is there an application or selection process?

Yes No

If yes, please describe:


Contact information of sponsoring organization:

Name
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
FAX
E-mail
URL