Recovery Support Peer Specialist Training Application (RSPS)

*If you have not completed the CORE training, please return to the application menu and apply for the CORE training first. Training application to complete the recovery support peer specialist training. Statement of Purpose: The Recovery Support Peer Specialist (RSPS) credential standardizes qualifications of those working in Recovery Support within the field of, substance use disorder recovery, and/or co-occurring disorders. The following RSPS credentialing guidelines have been developed by the Texas Certification Board of Addiction Professionals. RecoveryPeople is a TCB Certified Training Entity.

"*" indicates required fields

Personal Information

Name*

Please provide your legal name as it will appear on your certificate of completion.

First Middle Last Suffix

Preferred Name

If different from above

First Middle Last Suffix

Email*

Please enter the email address you will use to register and attend the class.

Enter Email Confirm Email

Phone*

Date of Birth*

(must be over 18)

Gender*

Male

Female

Transgender (Male to Female)

Transgender (Female to Male)

Gender non-conforming

Prefer not to answer

Other

Preferred Language*

English

Spanish

Both English and Spanish

Other

Race and/or ethnicity*

What is your race and/or ethnicity? Please select all that apply.

American Indian or Alaska Native (Individuals with origins in any of the original peoples of North, Central, and South America, including, for example, Navajo Nation, Blackfeet Tribe of the Blackfeet Indian Reservation of Montana, Native Village of Barrow Iñupiat Traditional Government, Nome Eskimo Community, Aztec, and Maya)

Asian (Individuals with origins in any of the original peoples of Central or East Asia, Southeast Asia, or South Asia, including, for example, Chinese, Asian Indian, Filipino, Vietnamese, Korean, and Japanese)

Black or African American (Includes individuals with origins in any of the Black racial groups of Africa, including, for example, African American, Jamaican, Haitian, Nigerian, Ethiopian, and Somali)

Hispanic or Latino/a (Includes individuals of Mexican, Puerto Rican, Salvadoran, Cuban, Dominican, Guatemalan, and other Central or South American or Spanish culture or origin)

Middle Eastern or North African (Individuals with origins in any of the original peoples of the Middle East or North Africa, including, for example, Lebanese, Iranian, Egyptian, Syrian, Iraqi, and Israeli)

Native Hawaiian or Other Pacific Islander (Individuals with origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands, including, for example, Native Hawaiian, Samoan, Chamorro, Tongan, Fijian, and Marshallese)

White (Individuals with origins in any of the original peoples of Europe, including, for example, English, German, Irish, Italian, Polish, and Scottish)

Another race or ethnicity (please specify)

Prefer not to answer

Specify other race/ethnicity

Address*

Applicants must live, or work full-time, in Texas.

Street Address Address Line 2 City State ZIP Code

County (Texas residents)*

County (if you live outside of Texas)

If you live in another state, please enter your county or parish.

Education & Eligibility Requirements

Have you completed the CORE Training with a Certified Trainer or Certified Texas Training Entity and can you provide a certificate?*

(Please provide the date that you completed the CORE training.)

Yes

I am scheduled to complete the CORE training before this training I am applying for begins, and I certify that I will withdraw from the training if I am not able to provide a certificate prior to completion.

When did you complete the CORE training?*

Have you completed the online self-assessment and orientation?*

The initial online assessment is available on the HHSC Website through the following link: Self-Assessment

Yes

Do you have a high school diploma, GED, or equivalent?*

A high school diploma, GED, or equivalent credential is required for peer specialist certification. You will be asked to provide documentation (e.g., diploma, transcript, or equivalent).

Yes

I am working on it and will finish before the class start date.

I need help to enroll in GED classes and would like to be added to a waitlist.

What is your citizenship status?*

Your response will not impact your standing with our organization.

U.S. Citizen

U.S. Permanent Resident (green card holder)

Other / Not a U.S. Citizen

Prefer Not To Answer

Lived Experience

The following questions help us ensure that applicants meet the requirements for peer specialist roles in Texas. You may answer in whatever style feels safe and true for you.

Demonstrated Lived Experience (Substance Use Recovery)*

Do you have demonstrated lived experience with self-directed recovery from personal substance use issues? *Lived experience in recovery from substance use disorder is required for peer specialist certification, and to attend this training. Lived experience is something that we experience that is so impactful that it becomes part of our identity.

Yes

Sustained Substance Use Recovery*

Please describe your pathway to sustained substance use recovery.

Storysharing*

Are you willing and able to share your substance use recovery story with others?

Yes

Ethics, Background, Certification and Training History

Do you intend to complete your certification steps to become a Texas State Certified Recovery Support Peer Specialist?*

Yes

Maybe/I'm not sure

Are you able to pass a criminal history and registry background check?*

A background check is required by the state for certification. A past record does not automatically disqualify you. Applicants must pass criminal history and registry checks as described in TAC rule §354.3201 (relating to Criminal History and Registry Checks)

Yes

Maybe/I don't know

Have you ever undergone any disciplinary actions for a violation of ethics?*

Yes

Please explain any disciplinary actions taken against you and the violation of ethics.*

Previous training experience*

Have you ever taken this training before?

Yes

Maybe/I don't know

Refresher*

Are you applying to take this course as a refresher?

Yes

I was certified, and my certification lapsed. I am applying to achieve my certification again.

Other

Motivation & Career Goals

Why are you interested in attending the Recovery Support Peer Specialist training?*

Please describe your motivation for attending this course.

Vision*

Tell us about your vision for your future after completing your certification.

Accessibility Needs

Equipment*

Do you have access to a computer or laptop that you can use for the duration of the training in a stationary location?

Yes

Other

Please list any special accommodations you will need to effectively complete this training.*

If you do not require any, please enter N/A.

Attestation

Post Training Survey*

Are you willing to complete a short post training follow up survey?

Yes

Signature*

By signing, I attest that I have completed this application accurately and completely to the best of my current knowledge.

Recovery Support Peer Specialist Training Application (RSPS)