COPP Application

Note: Please copy the application below and paste it into a word document on your computer.
Complete, print and submit to NAPP (NPHA) Professional Development Committee, PO Box 10627 Gladstone, MO 64188-0627. You may also contact NAPP (NPHA) at the address above to have a copy of the application mailed to you.

Application Process for Certified Organizations with Peer Programs

Basic Eligibility:
A district or non-profit organization that has 501 C-3 status can apply for Certified Organizations with Peer Programs status for their entire peer programming effort.

Process:
A Certified Peer Program Educator, in good standing with the NAPP, will complete a Certified Peer Program application for their building within the district or organization. (The applicant, who is not a current member of NAPP or a CPPE may include an application to NAPP and/or an application for CPPE with the appropriate fees, concurrently with the CPP application.) An organization/district must have 3 or more programs or buildings to qualify for COPP status. (Organizations/schools that have 1-2 programs would need to apply for CPP status at the individual rate since the district/group rate would not apply.)

-The building principal must sign their building's CPP application.
-One contact for the district will gather all of the CPP applications from each building, reviewing them to ensure all information required on the application has been completed. This contact will also complete the COPP application listing their contact information.
-The application must include a written pledge to adhere to the NAPP Program Code of Ethics.
-Upon receiving the application, members of the NAPP Professional Development Committee will review the district/ organization's application, the applications for each building, as well as call the references listed.
-Once the application has been reviewed and approved by the Professional Development Committee and the NAPP board, the district/organization will be notified of its status.

Fee: $100.00/school (non-refundable).

If COPP status is granted, the fee will include:
-Review of application
-NAPP membership & Certified Peer Program Educator status for two years for one member in each building covered by the COPP application
-COPP status for the district/organization for two years

Renewal: COPP status is good for two years at which time a renewal is required. Each building within the district must complete a new CPP application after two years to ensure current programming information for the building.


NATIONAL ASSOCIATION OF PEER PROGRAMS (NAPP)
APPLICATION FOR CERTIFIED ORGANIZATIONS WITH PEER PROGRAMS


Name of school district/organization: _________________________________________

Person submitting documentation:____________________________________________

Address: ________________________________________________________________

City, State, Zip ___________________________________________________________

Phone (_____) ___________________________ E-mail __________________________


Please complete the information below for each building in the district that has a Certified Peer Program Educator. If additional spaces are needed, please duplicate this portion of the application. In addition to this information, each building will need to complete and submit a Peer Program Certification Application.


Building information:

Name of school: __________________________________________________________

Address of school: ________________________________________________________

City, state, zip: ___________________________________________________________

CPPE Building contact: ____________________________________________________

Peer Program name (if applicable) ___________________________________________


Building information:

Name of school: __________________________________________________________

Address of school: ________________________________________________________

City, state, zip: ___________________________________________________________

CPPE Building contact: ____________________________________________________

Peer Program name (if applicable) ___________________________________________


Building information:

Name of school: __________________________________________________________

Address of school: ________________________________________________________

City, state, zip: ___________________________________________________________

CPPE Building contact: ____________________________________________________

Peer Program name (if applicable) ___________________________________________


Building information:

Name of school: __________________________________________________________

Address of school: ________________________________________________________

City, state, zip: ___________________________________________________________

CPPE Building contact: ____________________________________________________

Peer Program name (if applicable) ___________________________________________


Building information:

Name of school: __________________________________________________________

Address of school: ________________________________________________________

City, state, zip: ___________________________________________________________

CPPE Building contact: ____________________________________________________

Peer Program name (if applicable) ___________________________________________


Building information:

Name of school: __________________________________________________________

Address of school: ________________________________________________________

City, state, zip: ___________________________________________________________

CPPE Building contact: ____________________________________________________

Peer Program name (if applicable) ___________________________________________


Building information:

Name of school: __________________________________________________________

Address of school: ________________________________________________________

City, state, zip: ___________________________________________________________

CPPE Building contact: ____________________________________________________

Peer Program name (if applicable) ___________________________________________


Building information:

Name of school: __________________________________________________________

Address of school: ________________________________________________________

City, state, zip: ___________________________________________________________

CPPE Building contact: ____________________________________________________

Peer Program name (if applicable) ___________________________________________


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District/organization representative, please sign the pledge below:

I pledge that the programs listed above adhere to the NAPP Programmatic Standards and Ethics during training and program implementation.

District/organization representative signature_____________________________ Date____________

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Check method of payment:

_____ Purchase order (list number: ______________)

_____ Check enclosed. Make payable to NAPP.

_____ Visa Card # __________ - ______________ - ___________ Exp:_______

_____ Master Card # _____________ - ______________ - ___________ Exp:_______

Signature of card holder__________________________________________ Date_____________