APS/CPS PROSPECT SCHOLARSHIP FORM
Thank you for your interest in becoming a Certified Prevention Specialist (CPS) or an Associate Prevention Specialist (APS) in Vermont. At this time,  Prevention Works!VT has limited funding available to help support your continuing education needs OR reimburse you for your CPS exam fee of $150.00. We can also offer $100 for your APS application fee. 

Please complete this application to request funding.  PW will contribute toward registration costs only, and will assist toward early bird registration fees. Wherever possible, we ask that prospective members please also request scholarship funding from the conference organizers. This maximizes the funding available to all members. Funding will be given on a first come, first serve basis. For the continuing education, you must have at least 1000 hours of supervised prevention experience and a full intention to apply for the CPS credential or 500 hours of prevention experience with the intention to apply for the APS credential.  Prospective candidates are expected to attend the full training they have registered for, and will be asked to submit a copy of their certificate of attendance confirming their participation. If a member cannot attend the training for some reason, they must reimburse Prevention Works.

Example training opportunities include (but are not limited to) the Summer School of Addiction Studies, the Summer School of Best Practices, CADCA mid-year or CADCA's regular annual conference, the Alcohol Policy Conference, and specialty training session from Prevention Solutions.

To be reimbursed for the $150.00 exam fee or for the $100 fee for APS, you must apply for either credential before June 20th, 2025.

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Email *
Name *
First and last name
Phone number
If you are applying for the $150 exam reimbursement, please indicate below. Again, you must apply to the Vermont CPS board before June 20th, 2025.
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If you are applying for the $50 APS application fee support. Again, you must apply to the Vermont CPS board before June 20th, 2025. *
Please share what training or conference you'd like to attend. Include who is hosting this training. If you are not applying for a scholarship, put N/A.
Please share the link to this training opportunity.  If you are not applying for a training scholarship, put N/A.
What is the cost of this training opportunity?  If you are not applying for a training scholarship, put N/A.
How much funding are you requesting for your training?  If you are not applying for a training scholarship, put N/A.
What domain does this training cover?  If you are not applying for a training scholarship, put N/A.
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I understand that I am expected to attend in it's entirety this training opportunity and will submit a copy of my certificate of attendance afterward.  If you are not applying for a training scholarship, put N/A.
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I understand that if I cannot attend for some reason, I must reimburse Prevention Works!VT for the cost of my training.  If you are not applying for a training scholarship, put N/A.
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I attest that I have a minimum of 1000 hours of supervised prevention experience to apply for a training scholarship for a CPS and 500 hours for an APS.  If you are not applying for a training scholarship, put N/A.
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