Wellness Recovery Action Plan "WRAP" Training Registration Form

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Thank you for your interest in the Wellness Recovery Action Plan "WRAP" Training being held on June 22, 2023 from 9:00am-4:00pm. The training will be held via Zoom. Please complete the information below to apply to register for this training. A member of our team will reach out if additional information is needed and/or to confirm your participation.

As noted in the program materials, priority for attendance in this training will be given to current and/or future Youth and Family Peer Support Partners. Space permitting, other relevant audiences will be able to participate.

Email *

Name:

Phone Number:

What city do you live in?

What city do you work in?

What county do you live in?

What county do you work in?

What is your current role?

I am a current Family Partner.

I am a current Youth Peer Support Partner.

I would like to train to become a Family Partner in the future.

I would like to train to become a Youth Peer Support Partner in the future.

I work in a community setting (e.g., mental health agencies, LME/MCOs, schools) where Family and/or Youth Peer Support Partners work). Please specify in next question.

Other: Please specify in the question below.

What is your role if you work in a community setting (e.g., mental health agencies, LME/MCOs, schools) or checked "Other" in the question above?

What population do you currently work with in your role? Check all that apply.

Juvenile Justice

Foster Care

Behavioral Health

Mental Health

Unhoused Population

Substance Use Disorder

Other (Please specify in the question below).

Please specify what population you work with if you checked, "Other" in the question above.

What do you hope to learn from this training?

Thank you for the information you provided on this form. Please be sure to click "Submit" below to ensure your registration application is recorded. We appreciate your interest in this training program and hope you will stay connected with the NC Youth & Family Voices Amplified program at https://ncvoicesamplified.uncg.edu/ and @NCVoicesAmplified on Facebook and Instagram.

A copy of your responses will be emailed to the address you provided.

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