CPSS RegistrationHybrid | SPARK

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SPARK CPSS 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.

The hybrid version starts with 40 hours in person and a designated location, and then 40 hours of virtual training spread over the following 2 weeks.

Details of the training as are follows:

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OCEAN SHORES CPSS
In-Person: Ocean Shores (Quinault Resort & Casino)
Dates: 09/21/26 - 09/25/26
Time: 8am to 5pm

Online Portion
Dates: 09/28/26-10/09/26
Time: 8am-12pm
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WENATCHEE CPSS
In-Person: Wenatchee
Dates: 10/19/26-10/23/26
Time: 8am to 5pm

Online Portion
Dates: 10/26/26-11/06/26
Time: 8am-12pm
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TRI-CITIES CPSS
In-Person: Tri-Cities
Dates: 04/19/27-04/23/27
Time: 8am-5pm

Online Portion
Dates: 04/26/27-05/07/27
Time: 8am-12pm
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SPOKANE CPSS
In-Person: Spokane
Dates: 05/17/27-05/21/27
Time: 8am-5pm

Online Portion
Dates: 05/24/27-05/28/27
Time: 8am-12pm
No training Memorial Day (05/31/27)
Dates: 06/01/27-06/04/27
Time: 8am-1pm
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BELLINGHAM CPSS
In-Person: Bellingham
Dates: 06/07/27-06/11/27
Time: 8am-5pm

Online Portion
Dates: 06/14/27-06/25/27
Time: 8am-12pm
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Please note, when there is 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 by the Healthcare Authority

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 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?

Would you prefer a vegetarian lunch option?*

Yes

No

Are there any other allergies/restrictions we should be aware of? (Please type None if you do not have any)*

Please read and acknowledge: Lunch and 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 4 hours of authorized absence throughout the 80 hour training. If absence exceeds this allowance, the participant may not continue the class.

Please read and acknowledge: Excused absence is reserved for unforeseen urgent situations only. Please be sure that appointments and other obligations are not booked during training hours.

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

Will you require your service animal?*

Yes

No

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.

Are you okay with staff taking photos with you included. These photos may be added to SPARK's Website and/or Social Media accounts.*

Yes

No

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

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