• Certified Supervisor of Peer Recovery Support Specialists (Tracks 1 OR 2)

    Apply for Certified Supervisor of Peer Recovery Support Specialists (Tracks 1 OR 2). Please complete all required fields and upload all necessary documents.
  • Select Application Track*

  • Applicant Information

  • Format: (000) 000-0000.
  • Date of birth*
     - -
  • Do you live or work in West Virginia at least 51% of the time?*
  • Have you ever had an ethical complaint, investigation, or any action taken against a certification or license (including suspension or revocation) at any time, in any state?*

  • Track 1: Credential Prerequisite

  • Credential expiration date*
     - -
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  • Signature date*
     - -

  • Track 2: Clinical Prerequisite

  • Expiration date*
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  • Signature date*
     - -

  • Application fee pay by PayPal

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    CSPRSS Application Fee (Add On) Product Image
    CSPRSS Application Fee (Add On)
    $50.00$50.00
      
    Total
    $0.00$0.00

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