Peer Specialist Recertification

Apply for recertification as a Wisconsin Certified Peer Specialist (CPS). Applications, along with documented continuing education hours, and payment must be submitted no later than August 30th in the year your recertification is due.

Completing the Application for Recertification as a WI Certified Peer Specialist

Please fill out this Application for Recertification in full. Submission of this form by the relavant recertification deadline is a required step for recertification as a Certified Peer Specialist in Wisconsin. Recertification applications and the $55 fee are due by August 30th every two years from the year you passed the exam or last recertified. All required fields in this application are marked with an asterisk (*).

Your Information

First Name *

Last Name *

Address *

City *

State *

Zip Code *

Primary Phone Number *

Secondary Phone Number

Email Address *

Confirm Email *

Please select your county of residence.
Use the drop-down to select a county. *

If you are a member of a tribal nation of Wisconsin, please select your tribe.
Use the drop-down to select a tribe if applicable.

Lived Experience

Lived Experience *
Select the lived experiences specific to the CPS role with which you identify:

Experience with social, emotional, behavioral, mental health challenges Experience with substance use challenges

Continuing Education Hours Report

The Wisconsin Peer Specialist certification is valid for two years. In this two-year period, 20 total hours of continuing education hours (CEH) and/or continuing education units (Complete your 20 continuing education hours (CEHs) with a minimum of 1.5 hours in each of the recertification CEH topic areas (cultural humility, ethics and boundaries, substance use-specific, mental health-specific, trauma-informed care, and peer specialist-specific). The remaining 12.5 hours may be in any category of your choosing as it relates to the parent peer specialist role. The conversion rate for CEU/CEH is: .1 CEU = 1 CEH. Independent reading does not qualify as continuing education. Organized study groups with specific learning objectives, and facilitated by trained individuals with direct knowledge of the content discussed may count for continuing education hours. In this case, it is recommended that the curriculum and trainer biography be submitted to the WIPSEI Peer Specialist Program Coordinator for approval.

WI CPS Continuing Education Hours Report *
All CPS must document at least 20 hours of continuing education for recertification purposes. Please use this space to document educational hours completed during the period between certification/last recertification date and your current recertification due date. You must have at least 1.5 hours in each required topic area. Please do not submit copies of certificates.

Name of Event	Host Agency/ Conference Name	Date of Event	Speaker Name/ Credentials	Number of Training Hours	Required Topic Area

Add Row

Assurances

Please indicate the statements below that are true for you:*

I understand that submitting the Continuing Education Hours information is required, and these hours will be reviewed for completeness. I understand that the Wisconsin Peer Specialist Employment Initiative will conduct periodic audits for CPS/CPPS, and I must keep all documantation or certificates associated with my continuing education hours for two years after recertification. I understand that if I did not submit an online payment, my $55 recertification fee payment will need to be postmarked by the recertification deadline.

Optional Employment Questions

The Wisconsin Peer Specialist Employment Initiative seeks to support the continued development of the Certified Peer Specialist and Certified Parent Peer Specialist workforce. Please answer the following questions if you are able. Your answers will help to better inform the expansion of the CPS/CPPS workforce, professional development opportunities, as well as employer supports and technical assistance. You do not have to answer these questions to submit the application.

Are you currently employed as a Certified Peer Specialist, in a related peer support role, or in a leadership or supervisory role to CPS staff ?

Yes No

What issues do you feel are most important for CPS today, and how would you feel better supported in your role, both in the workplace and in the community?

Signature

Digital Signature (Type Full Name) *

University of Wisconsin-Milwaukee

School ofContinuing Education

Application for Recertification WI CPS