Join the Board

Welcome to the New York Peer Specialist Certification Board (NYPSCB) Board of Directors’ application page. Join us in shaping the future of peer support in New York by becoming a part of our Board of Directors. Board members play a vital role in the certification process, granting certification to individuals who meet the requirements to become a New York Certified Peer Specialist. Apply now to contribute to the advancement of peer support services across the state and make a lasting impact on the lives of individuals seeking certification.

If you are unable to complete this form, you can obtain a paper copy by calling the NYPSCB at 518-426-0945 or emailing info@nypscb.org.

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About You

Your Name(Required)

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Pronouns

Date of Birth

Age Range

Your Address

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How Can We Reach You?

We would love to chat with you. How can we get in touch?

Preferred Method of Contact

Your Email Address(Required)

Email Address Confirm Email Address

Your Phone(Required)

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How do you self-identify? Please see demographic datasheet for reference for your answer.

Are you a veteran?

If you are a veteran, which branch did you serve in?

Your Comments/Questions(Required)

Employment/Profession

Are you a Certified Peer Specialist?

If yes, what certifications/specializations do you have?

If yes, what board?

Have you ever served on a non-profit board of directors?

What is your professional background in peer support?

Have you received any awards or honors you would like to mention?

Please include anything else you want us to consider in reviewing your application, if applicable.

Can you commit to monthly teleconferences and quarterly in person board meetings?

Please include anything else you want us to consider in reviewing your application, if applicable.

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