International WRAP® Center of Excellence Certification Application
The Copeland Center for Wellness and Recovery recognizes and certifies WRAP Centers of Excellence to highlight and promote high quality transformational experiences through Wellness Recovery Action Plan Facilitation. These Centers of Excellence are wellness-oriented environments that have demonstrated programs based on WRAP Facilitation and its core values and ethics.
A WRAP Center of Excellence is an organization or program of an organization that:
* offers Wellness Recovery Action Plan workshops and educational experiences following the evidence-based practice of WRAP Facilitation
* has an environment where the core set of values and ethics are consistently upheld
* has a team of highly experienced WRAP Facilitators with current skills and knowledge
* has accessible, sustainable and innovative approaches for all people to learn about WRAP
Please fill out this form
* Required
Application for Center of Excellence
Name of Organization
*
Your answer
Address 1
*
Your answer
Address 2
Your answer
City
*
Your answer
State
*
Your answer
Zipcode
*
Your answer
Country
*
Your answer
Phone Number
*
Your answer
Website of organization
Your answer
Primary Contact
*
Please list the person who will be working with us to set up the review
Your answer
Primary Contact email address
*
Your answer
Primary Contact phone number
*
Your answer
Advanced Level WRAP Facilitators and Training
Please detail some information about Advanced Level WRAP Facilitators that work for the organization.
How many Advanced Level Facilitators does the organization have on staff?
*
Your answer
Have Advanced Level WRAP Facilitators maintained the Refresher requirements? Best practice is to attend one at least once every 2 years.
*
Please list each Advanced Level WRAP Facilitator's name, year trained, last Refresher course
Your answer
How many WRAP Facilitator Trainings does the organization conduct a year?
*
Your answer
How many WRAP Facilitators are trained each year?
*
Your answer
How many Advanced Level WRAP Facilitators are used to conduct each WRAP Facilitator Trainings?
*
1
2
3 or more
Does the organization keep records on all WRAP Facilitators who complete the training?
*
Yes
No
Other:
Does the organization keep in touch with WRAP Facilitators after their training?
*
If yes, please add in how in the "other" checkbox.
Yes
No
Other:
Required
How does the organization support WRAP Facilitators after the training as they head out to conduct WRAP Groups?
*
Your answer
How many WRAP Facilitators does the organization support?
*
These can be people who work for the organization, work for another organization, are volunteers,or are out in the community providing WRAP groups and presentations.
Your answer
How often does the organization offer Refresher courses for WRAP Facilitators?
*
Your answer
Do all active WRAP Facilitators attend a Refresher at least once a year?
*
Yes
No
Other:
Does the organization provide networking opportunities for WRAP Facilitators in the area?
*
If yes, please detail how in the other checkbox.
Yes
No
Other:
Required
WRAP Programming Offered
How many WRAP groups does the organization offer a month?
*
Your answer
Who conducts these WRAP groups?
*
Check all that apply
Advanced Level WRAP Facilitators
WRAP Facilitators
Other:
Required
How many WRAP Facilitators are used to conduct each group?
*
1
2
3 or more
Other:
Who are the WRAP groups open to?
*
Please specify if WRAP groups are open to the public, for a specific population, and if they have a specific theme (exp. WRAP for Kids, WRAP for Smoking Cessation, etc.).
Your answer
How many WRAP presentations does the organization conduct a month?
*
Your answer
Are these WRAP presentations open to the public?
*
Yes
No
Other:
How does the organization outreach to the community about WRAP?
*
Examples: flyers, partner organizations, facebook, events
Your answer
Evaluation
How does the organization evaluate WRAP groups and presentations?
*
Your answer
How does the organization evaluate WRAP Facilitator Trainings?
*
Your answer
Does the organization do research on the effectiveness of WRAP and/or implementation of WRAP?
*
This can include partnering with another organization (university, county, non-profit, etc) or researcher to study WRAP
Yes
No
If yes, please give a brief description.
Your answer
Organizational Impact of WRAP
Has the organization completed a Organizational WRAP for team members?
*
Yes
No
Other:
How do you embody the 5 key recovery concepts (hope, personal responsibility, education, self-advocacy and support) within the organization?
*
Your answer
Please list 4 examples of how the organization utilizes the Values and Ethics of WRAP?
*
Choose 4 different Values and Ethics and comment on their application within the organization's work.
Your answer
What are 4 goals of organization in regards to WRAP?
*
Please list 4 things that the organization is working toward with its WRAP program. Examples: training more facilitators, exposing everyone in county government to WRAP, etc.
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms