Youth Peer Support Specialist Certification Application

Please answer each question completely with at least 100 to 150 words per question.

A reference letter can be provided by a mental health professional (school counselor/therapist), a supportive adult (must be a professional - not a friend or family member) who is familiar with your story and lived-experience, and/or a representative of a community organization that you are involved with (NOTE: this representative cannot be an individual affiliated with your current or planned Youth Serving Agency worksite). Please provide us with information to contact your chosen adult and then they will be sent a form to send back to us at their earliest convenience. This Reference Letter Form must be completed by your chosen adult before we can process your Youth Peer Support Specialist Certification Application. Please contact your chosen adult and ask them to watch for the email containing the Reference Letter Form link.

Your signature below affirms that you read and understand what is expected of all applicants, and the information you provided here is accurate otherwise, your application will not be considered.