Peer Supervision Training Registration Form
This training strengthens leadership in the peer workforce by covering foundational leadership, supervision, and hiring practices, as well as problem-solving. The goal is to equip peer supervisors to support staff effectively while upholding peer practices and values across organizations. This 2-day training is designed for all professionals supervising peer staff, whether they are a peer themselves or not. There is no cost for this training.
I am a supervisor who supervises peer specialists/certified peer specialists
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Yes
No
I am 18 years or older
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Yes
No
I live or work in Massachusetts
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Yes
No
I have a high school diploma or equivalent
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Yes
No
Peer Supervision Training You Are Signing Up For. Please note, you must attend both training dates listed in the option you choose:
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Option 2: Tuesday, June 16th and Wednesday, 17th 2026
1. Name
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First Name
Last Name
2. Email
*
example@example.com
3. Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
4. Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
5. Are you certified as a peer specialist in MA?
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Yes
No
Certified in other state
6. What year were you certified as a peer specialist?
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7. Organization/Agency that you work for
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8. Program that you work for
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9. Job Title
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10. Please provide a brief description of your job duties and expectations?
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11. (Optional) Age
18-20
20-29
30-39
40-49
50-59
60+
12. (Optional) Race/Ethnicity
African American
Black
Asian
Hispanic/Latino
Caucasian (Non-Hispanic)
Indigenous/Native American/Alaskan
Middle Eastern
Multiracial
Other
Other & Comments
13. (Optional) Gender
Female
Male
Transgender
Non-Binary
Agender
Other
Other & Comments
14. (Optional) Sexual Orientation
LGBTQIA+
Heterosexual
Other orientation
15. (Optional) Pronouns
She/her/hers
He/him/his
They/them/theirs
Other
Other & Comments
16. (Optional) Highest Level of Education
High School or Equivalent
Some College
College Degree
Postgraduate Degree
Other Education
Other & Comments
Would you need any special accommodations for an online class (like interpreters)?
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Yes
No
If yes, what accommodations would you need?
Submit
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