BB-Peer Academy – PACE Track II

Peer Academy Career Enhancement (PACE)

Below is the application for the Peer Academy Career Enhancement (PACE) program. We offer two tracks for this program:

Track I is for new Mental Health Peer Specialists. It is only open to individuals that we have personally trained, and the program is invitation-only. You cannot apply for it.
Track II is for experienced Peers. It is open to Mental Health Peer Specialists, Recovery Support Peer Specialists, and Certified Family Partners (CFPs), regardless of where you were trained, or where you work. We only accept about 30 students per year, so it is quite-selective.

This application is for PACE - Track II

Peer Academy Career Enhancement (PACE) is designed to help Peers gain or hone skills that can help them succeed and remain in the career field.
It also includes a $3,500 stipend for you. It is designed to help you as you go through our training program. This form is the first part of your application process. If you're invited to participate, you'll have some additional forms to complete.

To enroll in this training you must have an active Peer Support certification OR be practicing in the field.

Terms and Conditions

Please read the terms and conditions below. Please understand that if you are unable to abide by the terms below, you could be removed from the class, lose your stipend, and may be required to pay back any portion of the stipend that you have already received.

1. I am currently working in a Peer Support role
2. I will be present and engaged during any "live" training, and will complete all other training and assignments, as required
3. I will have my camera on at all times if I attend any training virtually
4. I will be respectful of the instructor and other students
5. I will have the permission of my employer to complete this training program

Do you agree to the terms and conditions above?(Required)

Yes, I agree to the terms and conditions above

No, I do not agree to the terms and conditions above

First Name(Required)

Last Name(Required)

Email(Required)

Phone(Required)

Address(Required)

Street Address City State ZIP Code

How did you find Peer Academy?

PeerForce

Social Media (Facebook, Instagram, etc..)

Search Engine (Google, Bing, Yahoo, etc..)

Recommended by friend or colleague

Other

Please upload the front of a photo ID (license, passport, etc)(Required)

Max. file size: 5 MB.

Since this program includes a stipend, we are required to verify each applicant's identity. There will be an additional identification verification before a stipend can begin.

Please upload your peer certificate(Required)

Max. file size: 5 MB.

Since this program require you to hold a peer certification, we are required to verify your certificate.

Recommendation Letter*(Required)

Accepted file types: pdf, docx, doc, Max. file size: 7 MB.

*Recommendation letter can be from someone who can act as a reference on your behalf. Only PDFs and Word Documents are accepted.

About your current certification

The Peer Academy Career Enhancement (PACE) program is going to connect you with other practicing Peer Specialists. Before providing access to the community, we need to verify a few things about your current Peer role. Below, we'll ask for information about ONE of your current Peer credentials

Under what type of credential will you be applying for this program?(Required)

Please provide your certification number

If you don't know your certification number, you can check with the Texas Certifying Board by going to this link: https://tcbap.certemy.com/public-registry/84f1d32e-6d27-4232-9507-e72004382df6

When does this credential expire?

Month

Day

Year

If you don't know, you can check with the Texas Certifying Board by going to this link: https://tcbap.certemy.com/public-registry/84f1d32e-6d27-4232-9507-e72004382df6

When was this credential first issued?

Month

Day

Year

If you don't know, you can check with the Texas Certifying Board by going to this link: https://tcbap.certemy.com/public-registry/84f1d32e-6d27-4232-9507-e72004382df6

About your current role

We understand that roles change, and your role could change during the seven months of this program; however, we'd like to know a bit about your current work.

What is the name of the organization in which you are currently working in a Peer role?(Required)

What is your title or role?(Required)

Approximately when did you start in this role (or in the organization)?(Required)

Month

Day

Year

An estimate is fine.

Please tell us a little about what you do in this role(Required)

About the leadership at your current workplace

Our team has great relationships with Peer organizations in many places, and we like to keep it that way. As part of accepting Peers into this program, we'll also send a short email to your leadership acknowledging that you'll be part of this program. It's up to you to determine who the appropriate person should be to receive this message. We recommend your direct supervisor or organization's director.

What is the name of the person that we should contact to acknowledge your role in this program?(Required)

First Last

What is the email of the person that we should contact to acknowledge your role in this program?(Required)

About your relationship with form communities, inc

Our organization, form communities, operates a variety of programs focused on community-based recovery. We'd like to know a bit about your relationship to our organization.

Please identify any of our programs with which you've interacted in the past six months(Required)

Peer Academy

PeerForce

Connection Center San Antonio

Connection Center McAllen

None of the above

Please tell us a bit about your relationship to our teams(Required)

I acknowledge that:(Required)

form communities, inc is trying to support your professional development by providing this opportunity for upskilling. You are currently in a Peer Support role, which form communities considers to be a health support worker role.

form communities is trying to help you, and your organization. We are not trying to recruit you, and you are not applying for a job with our organization.

I understand and agree with this statement

Final step: Short video submission

Below we're going to ask you to record a short video (at least 1 minute, but less than 2 minutes long). We ask that you provide a little background on why you are interested in becoming a mental health peer specialist and share with us your own personal journey with mental health recovery.

To record your video follow these steps:
1. Click "Request Permission" below to start your video submission.
2. Click the record button in the middle to begin recording
3. Fill out your "name", "email", and check the box on the Privacy policy section below the video application
4. Click the "NEXT" button to upload your video

Your video is only being used for application purposes, we will not share your video with anyone outside of the training team

Unfortunately, you are not eligible for this program. In order to be eligible you must:
1. Currently have an MHPS, RSPS, or CFP certification that is active
2. Currently work in a Peer role
3. Agree to the terms and conditions of our program.