PEERS- WRAP® Contract Facilitator Application FY 19-20
Please complete the following application to be considered as a WRAP facilitator for PEERS WRAP.
Email address *
First and Last Name *
Your answer
Phone number *
Your answer
Date of most recent WRAP® Facilitator Certificate of Completion *
You must have valid WRAP® facilitator certification (earned or refreshed within the last two years) in order to work as a WRAP® facilitator for PEERS.
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Who were the Advanced Level WRAP® Facilitators of your Seminar II WRAP® Facilitator training or Refresher course? *
Your answer
How do you practice the WRAP® values and ethics with yourself? *
Your answer
How do you practice the WRAP® values and ethics when working with a co-facilitator? *
Your answer
How do you practice the WRAP® values and ethics during the WRAP® group experience? *
Your answer
What is your general availability?
Mondays
Tuesdays
Wednesdays
Thursdays
Fridays
Morning (8a-12p)
Afternoon (12p-5p)
Evening (5p-9p)
What kind of work would you like? (Check all that apply) *
This gives us an idea of how many hours and what kind of schedule you'd like. If you would like to co-facilitate a regular weekly group, PEERS expects you to be able to attend at least 8 of 10 weeks of a cycle. If you prefer to not be committed week to week but want to help when you can, you can be contracted and called upon as a substitute when possible.
Required
How would you get to and from WRAP® groups? *
If you do not have reliable transportation, please contact PEERS right away to talk about options.
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