CPSS RegistrationVirtual

SPARK CPSS Virtual Training Registration

Welcome to the Certified Peer Specialist class presented by SPARK Peer Learning Center in collaboration with Washington State Health Care Authority. We are excited to join you on your journey to becoming a Certified Peer Specialist.

Please answer the questions on this form in order to complete your registration.This is an 80-hour fully virtual class.

Virtual Trainings Times: 8am-12pm Monday to Friday

Please note, there may be more than 1 option for the first question on the form regarding training location. please be sure to select the training that matches the one you have been invited to

Training Dates:
January 5th-30th - Please select YY26 CPS7VT

Orientation for YY26 CPS7VT:
December 22nd, 4pm-5pm

Please Note: Manuals will only be sent out prior to the beginning of training to those participants who attend orientation. Those who do not attend orientation but attend the training will receive a link to the digital manual to begin with, and then a physical manual will be sent.

Training Location Your Registering For (IMPORTANT: You must select the training location HCA has invited you to)

Legal Last Name

Legal First Name

Preferred Name

Preferred Pronouns

Personal E-mail (Required for Exam)

Work E-mail (As a Backup)

Phone Number (The best one to for us to reach you at)

Address (For Exam Purposes)

Country/Region

Address

City

Zip / Postal code

Agency You Work For (If Applicable)

Job Role (If Applicable)

Are there any reasonable ADA accommodations you may require for training and/or testing?

Please read and acknowledge: All required materials will be provided by SPARK

Please read and acknoweldge: Transportation and Lodging are the responsibility of the participant or employer

Please read and acknowledge: The personal e-mail address that you provide will be used for any future communication and shared with the testing proctor for the purpose of your written test and exit interview

Please read and acknowledge: We understand that childcare may be a barrier, but children are not allowed in the class. Please be sure to arrange childcare as needed prior to joining the class.

Please read and acknowledge: Participants must attend the entire training. Attendance is monitored and during the online portion, cameras are required to be turned on.

Please read and acknowledge: A participant may only have 30 minutes of unexcused absence, or 3 hours of authorized absence per 40 hours of training.

Please read and acknowledge: Excused absence is reserved for unforeseen urgent situations only. Please be sure you have no appointments or other obligations during the hours of training.

Please read and acknowledge: Please let SPARK know if you need any kind of accommodation

Please read and acknowledge: An online written exam and an exit interview will be conducted after the training by a testing proctor. Specific testing times will be scheduled during training.

Please complete this form only once. You will receive a confirmation letter within a week

If you have questions or need to contact us, please reach out to the following people:
Diana: dmccallum@wayouth.us
Matt: mpolley@wayouth.us

Thank you

SPARK CPSS Virtual Training Registration

Please complete this form only once. You will receive a confirmation letter within a week If you have questions or need to contact us, please reach out to the following people: Diana: dmccallum@wayouth.us Matt: mpolley@wayouth.us Thank you

Please complete this form only once. You will receive a confirmation letter within a week

If you have questions or need to contact us, please reach out to the following people:
Diana: dmccallum@wayouth.us
Matt: mpolley@wayouth.us

Thank you