CPPE Application

Note: Please copy the application below and paste it into a word document on your computer. Complete, print and submit to NAPPP, Professional Development Committee, PO Box 28564, Gladstone, MO 64188-0627.

NAPPP Vision: To create more caring communities through peer helping programs.

NAPPP Mission: To provide leadership and promote excellence in the peer resource field.

PURPOSE: Recognizing the expanding role of the peer program educator in schools and communities and the increasing importance of professional development, the National Association of Peer Program Professionals (NAPPP), has established a voluntary national certification program. This program identifies a certifiable level of experience and expertise in the administration and/or operation of peer programs. Individuals who attain these levels and who complete the certification process may then claim the designation, Certified Peer Program Educator (CPPE)

OBJECTIVES: Within the field of peer programs this certification program intends: to promote professional standards, practices and ethics; to encourage self-assessment by offering guidelines for achievement; to improve performance by encouraging participation in a continuing program of professional growth and development; to acknowledge a level of educational training essential for effective peer program administration and/or operations; to foster professional contributions to the field; to maximize the benefits received by the peer program community from the leadership provided by certified peer educators.

BASIC ELIGIBILITY: Peer educators who satisfy the following prerequisites may apply:

1. Bachelor's Degree, or higher, from an accredited institution.

2. Member in good standing of the National Association of Peer Program Professionals. (The applicant, who is not a current member of NAPPP may include an application to NAPPP with the appropriate fees, concurrently with the CPPE application.)

3. Completion of the Introductory Peer Helping Course and successful completion of the program assessment based on NAPPP Standards.

4. Pledge in writing to adhere to the NAPPP Programmatic Standards and Code of Ethics.

Note: Peer Educators who due to some extenuating individual circumstances do not satisfy all of the prerequisites may request an exemption in writing from the Professional Development Committee. Such an appeal in writing must accompany the application form. Each appeal will be reviewed on its own merit, but it should also be understood that an appeal does not guarantee a waiver of the prerequisites.

EARNING THE DESIGNATION CERTIFIED PEER PROGRAM EDUCATOR (CPPE): Print and complete the application below and return it along with a non-refundable $35.00 processing fee to the NAPPP Professional Development Committee. Make your check payable to NAPPP. Following verification of data included on the application you will receive your certificate. Additional information about training opportunities and the certification program can be found on the NAPPP website: www.peerprogramprofessionals.org. To continue certification, individuals will be required to pay an annual $20.00 renewal fee and report on their professional growth and development

Certified Peer Program Educator (CPPE) Application

Circle One: Dr. Ms. Mr. Other ______

Name_______________________________________________________________

Present Position___________________________________________________

Name of Organization_______________________________________________

Office Address_____________________________________________________

___________________________________________________________________

Office Telephone/Fax_______________________________________________

Office E-Mail Address______________________________________________

Home Address_______________________________________________________

___________________________________________________________________

Home Telephone/Fax_________________________________________________

Home E-Mail Address________________________________________________

Birthdate__________________________________________________________

Highest College Degree Earned_______________________________________

In order to be granted CPPE, the applicant must be a current member of NAPPP.
(If you are not a current member, please submit an additional $50.00 to establish your membership, in addition to the application fee of $35 for CPPE)

Member of NAPPP since_____________________

In the space below, please indicate when you completed your Beginning Peer Helping Course and the Instructor





Have you ever been convicted of a crime?___________If yes, please explain

A non-refundable application fee of $35.00 MUST accompany this form.

By my signature, I attest to all of the above facts being true and that I will follow the National Association of Peer Program Professionals Programmatic Standards in my work as a Certified Peer Program Educator.

________________________________________ _______________________
Signed Date

Check One:
___Purchase Order and Number_______________________

___Check (Payable to NAPPP)

___Visa ___Master Card #_________________________________________

Expiration Date______________ Today's Date______________

_______________________________________________________
Signature of Cardholder

(If you have any questions about any part of this application, please call NAPPP at 888.691.1088 or send an E-Mail to NAPPP@peerprogramprofessionals.org)