CPP Application

Certified Peer Program (CPP) 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.

NAPP (NPHA) Vision: Establishing a culture of people helping people.

NAPP (NPHA) Mission: The National Association of Peer Programs (National Peer Helpers Association) equips individuals to help other by promoting standards of excellence in peer programs.

PURPOSE: Recognizing the expanding role of the peer programs in schools and communities and the increasing importance of professional development, the National Association of Peer Programs (NAPP), formerly National Peer Helpers Association (NPHA), has established a voluntary national certification program. This program identifies a certifiable level of adherence to the National Association of Peer Programs (National Peer Helpers Association) Programmatic Standards. Programs that attain these levels and complete the certification process may then claim the designation, Certified Peer Program (CPP)

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 visibility and credibility provided by certified peer programs.

BASIC ELIGIBILITY: Peer programs which satisfy the following prerequisites may apply:

1. Application must be completed by a member in good standing of the National Association of Peer Programs, formerly National Peer Helpers Association and the applicant must be a CPPE (Certified Peer Program Educator). (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.)

2. Completion of the application

3. Application must include a pledge in writing to adhere to the NAPP (NPHA) Programmatic Standards and Code of Ethics.

Note: Peer Programs which due to some extenuating 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 (CPP): Print and complete the application below and return it along with a non-refundable $100.00 application fee to the NAPP (NPHA) Professional Development Committee. Make your check payable to the NAPP. Following verification and analysis by the committee of data included on the application your program will receive the certificate. To continue their certification, the program will be required to pay an annual $50.00 renewal fee and report on their programs continuing professional growth and development.

NATIONAL ASSOCIATION OF PEER PROGRAMS (NATIONAL PEER HELPERS ASSOCIATION)
PEER PROGRAM CERTIFICATION APPLICATION

__________________________________________________________
Name of person submitting documentation

__________________________________________________________
Name of peer helping program

__________________________________________________________
Name of school or agency

__________________________________________________________
Address

__________________________________________________________
City State Zip

__________________________________________________________
e-mail phone


Give 3 References (persons with direct knowledge of peer helping and this program):

___________________________________________________________
Name

___________________________________________________________
Address

___________________________________________________________
City State Zip

___________________________________________________________
e-mail phone


___________________________________________________________
Name

___________________________________________________________
Address

___________________________________________________________
City State Zip

___________________________________________________________
e-mail phone


___________________________________________________________
Name

___________________________________________________________
Address

___________________________________________________________
City State Zip

___________________________________________________________
e-mail phone


Rationale: Does your program have a rationale?
____Yes
____No

Please state or attach the rationale for your peer program.
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________

Mission statement: Does your program have a mission statement?
____Yes
____No

Please state or attach your program’s mission statement.
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________

Goals and objectives: Does your program have goals and objectives?
____Yes
____No

Please state or attach the goals and objectives for your peer program.
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________

Does your program have procedures designed to document specific goal attainment?
____Yes
____No

Please state or attach your programs’ procedures designed to document specific goal accomplishment.
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________

Was your program developed using NAPP (NPHA) Programmatic Standards and Ethics?
____Yes
____No

Does your program review NAPP (NPHA) Programmatic Standards and Ethics periodically to monitor compliance?
____Yes
____No

Does your program have a procedure or specific method (advisory board) connecting to staff, administration, and/or community to gain support?

Please state or attach your peer program advisory board or alternative support system.
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________

How are staffing decisions made?
___Administration appointed
___Concentually decided by intergroup representation
___Program Directors
___Student recommendations
___Voluntarily
___Advisory board appointed
___Interns
___Community agency supplied
___Other (Please describe below):
___________________________________________________________
___________________________________________________________
___________________________________________________________

How are staff trained?
___NAPP (NPHA) Level I, II, or III training.
___Enter with previous training that meets NAPP (NPHA) Standards.
___Trained by professional training consultants that meets NAPP (NPHA) Standards.
___Trained by previously trained program staff that meets NAPP (NPHA) Standards.
___Trained through observation/participation and/or internship that meets NAPP (NPHA) Standards.
___Other (Please describe below):
___________________________________________________________
___________________________________________________________
___________________________________________________________

How does program staff receive continuing education/training?
___Workshops/seminars
___In-Service
___Other (Please describe below. Include assessment procedures.):
___________________________________________________________
___________________________________________________________
___________________________________________________________

Does your program have an organizational structure? Indicate chain of command, members’ roles and responsibilities, and communication channels. Map or list below:
___________________________________________________________
___________________________________________________________
___________________________________________________________

Please attach selection criteria for staff and peer helpers or list below:
Staff:___________________________________________________
___________________________________________________________
___________________________________________________________

Peer Helpers:______________________________________________
___________________________________________________________
_ ___________________________________________________________

Please attach recruiting procedures for staff and peer leaders or describe below:
Staff:___________________________________________________
___________________________________________________________
___________________________________________________________

Peer Helpers:______________________________________________
___________________________________________________________
___________________________________________________________

Please attach your staff and peer helper applications.

Are the parents of the peer helpers (if under 18) involved with selection, training or other means?
____Yes
____No

Please state or attach information about their involvement.
___________________________________________________________
___________________________________________________________
___________________________________________________________

Is there a role/job description for the peer helpers in place?
_____Yes
_____No

Please state or attach information about the role of the peer helpers.
___________________________________________________________
___________________________________________________________
___________________________________________________________

Please indicate how and when the peer helpers are trained.
____Retreat
____Retreat, plus other time
____Class for credit
____After school activity

Please state or attach the training schedule:
___________________________________________________________
___________________________________________________________
___________________________________________________________

Please indicate if the following modules are taught in your training and how much time is devoted to these skills: (Please check and indicate time)
________ Confidentiality, referral and liability issues/ ethics
________ Communication Skills (listening and responding)
________ Understanding of peer helping
________ Problem solving
________ Additional issues and topics(Please list with the time spent)
___________________________________________________________ ___________________________________________________________

What curricula are you using?
___________________________________________________________
___________________________________________________________

How are the peer helpers utilized?(Please check and add additional ones)
____Listening
____New Student
____Mentoring
____Conflict Mediation
____Small Group Leaders
____Cross Age Peer Educator
____Tutoring
____Health Information
____Leadership
___________________________________________________________
___________________________________________________________

Does your program have a system in place to supervise the peer helpers?
____ Yes
____ No

Please state or attach your system for supervision.
___________________________________________________________
___________________________________________________________
___________________________________________________________

Do you provide for ongoing training?
____Yes
____No

Please state or attach your system for ongoing training.
___________________________________________________________
___________________________________________________________
___________________________________________________________

Does your program have an evaluation process?
____Yes
____No

Please state or attach your evaluation process and any results you have attained.
___________________________________________________________
___________________________________________________________
___________________________________________________________

Do you have a marketing and publicity plan?
____Yes
____No

Please state or attach your plan and examples of your publicity.
___________________________________________________________
___________________________________________________________
___________________________________________________________

Is there a process in which your peer helpers take ownership of the program?
____Yes
____No

Please state or attach your plan and examples of how this is done.
___________________________________________________________
___________________________________________________________
___________________________________________________________

Does your program receive financial support?
_____Yes
_____No

Please state or attach how your program is financially supported.
___________________________________________________________
___________________________________________________________
___________________________________________________________

Does your program leaders participate in the local, state and national peer helping professional organizations?
_____Yes
_____No

Please state how your professional staff connects to the peer helping professional organizations.
___________________________________________________________
___________________________________________________________
___________________________________________________________

Are your professional staff certified as Peer Program Educators (CPPE) by NAPP (NPHA)?
_____Yes
_____No

Please complete and sign the pledge below:
I pledge to continue to adhere to NAPP (NPHA) Programmatic Standards and Ethics:
___________________________________________________________
___________________________________________________________
Program Director(s’) Signature(s)



Check One: ___ Purchase order ___Check Enclosed ___Visa Card ___Master Card

Credit Card No._________-_________ _________-_________ Exp.____________

Signature/Date________________________________________________________________
(Signature of Cardholder) (Date)