Peer Support Specialist Volunteer Application — Form Fields
This nonprofit template includes 9 fields. Recruit trained peer support specialists to provide mental health and recovery support. Free to customize and use on ZenBuild.
Full Name (text, required)
Email (email, required)
Phone Number (text, required)
Do You Have Lived Experience with Mental Health Challenges? (multiple choice, required) — options: Yes, Prefer Not to Say
Currently in Stable Recovery or Wellness (if applicable)? (multiple choice, required) — options: Yes, Not Applicable
Peer Support Training (dropdown selection, required) — options: Certified Peer Specialist, WRAP Facilitator, Mental Health First Aid, None (Willing to Train)
Hours Available Per Month (number, required)
Populations You're Comfortable Supporting (checkboxes, required) — options: Adults, Youth, Veterans, LGBTQ+, Substance Use Recovery, General Mental Health
Why Do You Want to Be a Peer Support Volunteer? (long text, required)