The Institute for Recovery and Community Integration


Peer Specialist Forum	CPS Planning Group	Supervisor's Network	Register for E-News	Recovery Library	Course Catalog

Please complete the form below to register. Your application will be reviewed by Institute staff, and you will receive an email with your confirmation and password after you have been approved.

* required fields

First Name*
Last Name*
Email Address*
Organization
Address 1*
Address 2
City*		State or Province*

Postal Code*
Country
Constituency*
Why are you interested?
Have you had specialized training in peer support?		Yes No
Would you like to receive our newsletter?		Yes No