PROJECT PEER (PEER EDUCATION AND EXPERIENCE ROADMAP) WRITTEN APPLICATION
Please note that completing and submitting the Project PEER application is NOT a guarantee of acceptance into the program. Applications will be reviewed by Project PEER on a rolling basis. This means it may be a month or two prior to decisions being reached. All applicants will be contacted regarding their application status. There are a limited number of spots available within this program.
This program is open to peers who live and work in Oregon and otherwise meet the eligibility criteria listed in the application. To broaden access, this program is open to individuals who have not previously participated in a HRSA-funded program or have taken the MHAAO Peer Wellness Specialist training in the past.
Basic Eligibility
In order for individuals to begin the application process, they must meet the following criteria: 1) 18 years or older. 2) Have lived experience with a mental health or mental health and addictions challenge. 3) Plan to work (or currently working) within the peer support or behavioral health fields. 4) Willing and able to complete both training and internship hours. 5) Not listed on the federal suspension or debarment list (and thus ineligible to receive federal funds).
Do you currently live in the state of Oregon?
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Yes
No
Do you identify as having lived experience of mental health challenges?
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Yes
No
I'm not sure
Are you currently on the federal debarment list?
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Yes
No
I'm not sure
Have you participated in a HRSA funded program before?
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Yes
No
I'm not sure
Have you taken a Peer Wellness Specialist training in the past?
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Yes
No
I'm not sure
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Basic Information
Name
*
First Name
Last Name
How do you like to be referred to?
You may give us your pronouns here
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Are you comfortable with someone from Project PEER leaving a voicemail to the phone number you provided?
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Yes
No
Are you comfortable with someone from Project PEER texting the phone number you provided?
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Yes
No
Email
*
example@example.com
What is your preferred method of contact?
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Email
Phone
Birthdate
*
-
Month
-
Day
Year
Project PEER eligibility includes planning to work or currently working within the peer support or behavioral health fields. Which of the following is true for you:
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I am currently unemployed, but I plan to work in peer support / behavioral health.
I currently work within peer support / behavioral health fields.
I currently work within an unrelated field, and plan to work in peer-delivered services in the future.
I do not plan to work in peer support or behavioral health in the future.
Have you participated in a HRSA funded program before?
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Yes
No
Unsure
The following questions help us better understand who we are serving. They are required by the funding agency (HRSA) for reporting purposes.
If you have questions or concerns regarding these questions, please feel free to reach out.
Do you currently live in a rural area?
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Yes
No
Have you ever lived in a rural area?
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Yes
No
If you have ever lived in a rural area, where?
Are you a Veteran?
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Yes
No
How would you describe yourself?
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Native American or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Latinx/Hispanic
Other
If you chose 'other' for the previous question, please explain if you are comfortable.
With which underrepresented group(s) do you most identify, if any? (i.e. Veteran, LGBTQ+, minority group, rural resident, formerly incarcerated, other?)
Do you speak more than one language?
*
Yes
No
Prefer not to Answer
If you chose yes for the previous question, which languages do you speak and would you be comfortable providing services in them?
Lived Experience
Do you identify as having lived experience of mental health challenges?
*
Do you identify with the lived experience of having used substances or had a substance use disorder, and are in recovery? If yes, do you have at least 2 years of recovery?
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If you chose yes for the previous question, how many years of recovery do you have?
Do you identify as having lived experience of having behavioral addictions, like gambling? If yes, do you have at least 2 years of recovery?
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If you chose yes for the previous question, how many years of recovery do you have?
Peer Support Background
Please note that you may include a resume or CV to answer these questions. You may upload your attachments at the bottom of this form.
Describe any peer supports that you have received in the past and currently.
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Identify any peer support training that you have received and if you have been certified through another peer support specialists or peer wellness specialists training program in Oregon or elsewhere. You may include this in the form of a resume and attach it to your application.
Describe paid or volunteer peer support services that you have provided including the name of the organizations, time periods, job descriptions, and who you served. You can provide this in the form of a resume and attach it to your application.
As part of this program there is a 100-hour internship requirement. Do you currently work somewhere or know of somewhere this can be completed? Please note that it is not a requirement to have already identified an internship site.
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Yes
No
I'm not sure
If you chose yes for the previous question, please explain.
Other Work History
Please note that you may include a resume or CV to answer these questions. You may upload your attachments at the bottom of this form.
Describe other current and former paid or volunteer jobs through which you have gained experience working with people with lived experiences with mental health challenges and/or youth and young adults. You may provide this information in your resume.
Please describe other work experiences that you have had.
Other Education and Training
Please note that you may include a resume or CV to answer this questions. You may upload your attachments at the bottom of this form.
Describe education and training other than peer supports that you have received including high school, GED, college, and technical training courses and programs. You may provide this information in your resume.
Letter of Recommendation
Please provide at least one letter of recommendation, specifically speaking to your ability to successfully complete the program. Please reference things you have completed in the past that speak to your reliability and dependability. The letter(s) of recommendation may be written by a reference that can be personal, academic, or professional. It could be someone you have worked or volunteered for, a long-time friend, sponsor, employer, teacher, etc. If you have included it as an attachment, please write "attached".
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Please note that we do not reach out to references.
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Based on your responses to the eligibility questionnaire, you are not eligible to participant in Project PEER.
Please reach out to the Program Coordinator Ariana Alvarado at aalvarado@mhaoforegon.org or 503-758-6445 with any questions or concerns.
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