Registration Request for YPA Level 2 VIRTUAL Training SEPTEMBER 2024

General Registration Request

Please answer each of the questions below to help us confirm your eligibility for registration. If approved, we will confirm your registration via email.

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* 1. Contact information

Full Name *

Personal Email *

Work Email *

Agency Name *

Job Title *

Supervisor's Full Name *

Supervisor's Email *

Personal Phone Number *

Work Phone Number

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* 2. Are you available to attend the mandatory 1-hour Orientation on Mon. September 23 @ 12:00pm - 1:00pm

Yes

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* 3. Are you available to attend all 4 days of training on Thu. 9/26, Fri. 9/27, Mon. 9/30, and Tue. 10/1 @ 12:00pm - 4:00pm?

Yes

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* 4. Trainees are also required to participate in a series of weekly, one-hour coaching calls following completion of the virtual training. We will meet on Wednesdays @ 1:00pm – 2:00pm from 10/16 through 12/4, skipping 11/27.

I am available for all coaching call dates.

I am not available for one or more coaching call dates. (Please list these dates in the comment box below):

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* 5. Do you hold a valid YPA Provisional (temporary) Credential?

Yes

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* 6. Did you complete YPA Level 2 online training modules hosted on the CTAC Self-Learning Center? There are 5 modules total and a Certificate of Completion is available under your Transcript.

Yes

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* 7. Are you currently providing Youth Peer Support Services?

Yes

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* 8. If yes, have you been working independently with youth/young adults for at least 3 months?

Yes

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* 9. Does your supervisor approve of your registration request and availability for this training?

Yes

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* 1. Contact information

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* 2. Are you available to attend the mandatory 1-hour Orientation on Mon. September 23 @ 12:00pm - 1:00pm

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* 3. Are you available to attend all 4 days of training on Thu. 9/26, Fri. 9/27, Mon. 9/30, and Tue. 10/1 @ 12:00pm - 4:00pm?

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* 4. Trainees are also required to participate in a series of weekly, one-hour coaching calls following completion of the virtual training. We will meet on Wednesdays @ 1:00pm – 2:00pm from 10/16 through 12/4, skipping 11/27.

Question Title

* 5. Do you hold a valid YPA Provisional (temporary) Credential?

Question Title

* 6. Did you complete YPA Level 2 online training modules hosted on the CTAC Self-Learning Center? There are 5 modules total and a Certificate of Completion is available under your Transcript.

Question Title

* 7. Are you currently providing Youth Peer Support Services?

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* 8. If yes, have you been working independently with youth/young adults for at least 3 months?

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* 9. Does your supervisor approve of your registration request and availability for this training?

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* 10. If you have any questions or comments please list them here or email YPACredential@FTNYS.org