THRIVE - Application for Peer Support Work Experience

IMPORTANT! Read the following before sending the form.

Please note that your work cannot be saved in the online form, so it's important to complete it in one session. To facilitate the application process, we recommend typing your answers in a Word document (or similar program) first. Once completed, you can copy and paste your answers into this form and click submit. If you need any technical support with filling the form, please contact us at This email address is being protected from spambots. You need JavaScript enabled to view it. for assistance.

Applicant Information

Application Date *

Full Name *

Address *

City *

Province *

Postal Code *

Email address *

Prefered Phone Number *

Alternate Phone Number

Preferred Pronouns *

Date of Birth *

Criteria for Application

Do you have personal lived experience of mental health or substance use problem? *

Yes

No

Do you believe you are on a path of recovery and wellness, and able to support others? *

Yes

No

What are some strategies or techniques you employ to actively support and facilitate your personal recovery journey? What does recovery mean to you? *

Have you completed any peer support work training? *

Yes

No

If yes, which training have you completed? *

Vancouver Coastal Health

Coast Mental Health

Toward the Heart Peer Training

BC Peer Connect (BC provincial curriculum)

Communitas Society

Other

Commitment

I understand that I must be able to commit to 6-10 hours per week for up to 3 months to gain the work experience.

I understand I must be willing to attend mandatory monthly support and educational meetings.

I understand I must have a wellness plan for recovery, if asked.

About You

Use as much space as you’d like – text boxes will expand as you type.

Why are you interested in the Peer Support Work Experience Program? *

What do you hope to get out of this process? *

Can you describe the indicators that signal you're feeling stressed or overwhelmed? Additionally, explain the strategies you use to manage these feelings, particularly in your interactions with friends, family, or colleagues? *

What strengths / gifts do you bring to peer support? *

About Your Experience

Tell us about your experience and goals as it relates to peer support. This could be paid work experience, volunteer work or any course that may be relevant and how it is applicable. This helps us design your practicum.

Choose the answer that fits you best *

I do not have any experience yet, I am trying to get more experience through Thrive

I do have some experience

If you do have experience in what organization was it and for how long?

Organization(s) Name:

No. of years and months providing peer support at these location(s):

Please provide an approximate % breakdown on how much time was spent on each of the following

One-on one peer support (relationship building)

One-on-one peer support (occasional/drop in)

Group Facilitation

Other:

If Other, describe it:

Goals *

Employment

Volunteer

Further Education or Training

Referral to Employment Program

Referral to other service provider

Other

Please provide additional details to supplement your previous response.

Letter of Support

As a part of this application process, THRIVE would like you to provide one (1) letter of support along with your application. As part of the assessment process, THRIVE will be in touch with the provider to confirm the letter of support.

Please note that the letter of support should be emailed to Thrive separately.

We ask that this one (1) letter of support must be from either your GP or psychiatrist, psychologist, elder, counselor, mental health team member, social worker, community support worker, etc. This letter should include some or all of the following:

A. Could you describe your association with the applicant, highlighting the nature of your collaboration and the duration of your professional relationship?

B. In your observation, how does the applicant demonstrate essential skills for peer support training and work, some examples are interpersonal/communication skills, conflict resolution, stress management, approachability, and receptiveness to feedback? Please provide concrete examples if you can.

C. Are there any further insights or reflections you would like to offer regarding the applicant's suitability and potential contributions to peer support training and

work?

D. Your email address and/or phone number for verification purposes

Please note that:

Individuals to whom you have provided peer support may not be used as a reference

Members of your family or friends may not be used as a reference.

Next Steps

Thank you for taking the time to complete this application. Your application will be viewed. You can expect to hear back from us in 1-3 weeks about the status of your application.

Following this phase, you will be invited to an in-person meeting, followed by an orientation.

The training is 12 weeks long, for twice a week. After the Peer Support Training, you will enroll in a work practicum at THRIVE, which is 10-12 weeks (about 6-10 hours a week).

During the practicum you will receive constant support to improve your employability skills and be able to attend further workshops related to job search.

If you have any questions at any time, please contact any peer support worker at This email address is being protected from spambots. You need JavaScript enabled to view it.

Additional Information

Purpose of Use: The information collected in this form will be used to verify your identity, confirm program eligibility, ensure legal compliance, communicate program updates, and maintain accurate administrative records.

Revocation of Consent: You have the right to revoke your consent at any time by contacting us at This email address is being protected from spambots. You need JavaScript enabled to view it..

Duration of Use: This consent remains valid for as long as deemed necessary unless revoked earlier.

Personal and Sensitive Information: Personal information refers to any data that can identify you, such as your name, email address, phone number, and mailing address. Sensitive information includes details that require additional protection due to their private nature, such as your social security number, financial information, health information, and any other data that could lead to discrimination, identity theft, or other harm if disclosed.

Sensitive Information: We will not use any sensitive personal information provided without obtaining separate explicit consent.

Confirmation Section: By entering your details in this form, you confirm your understanding of the terms and agree to the outlined conditions. By submitting your information through this form, you consent to our collection, use, and handling of your personal and sensitive information in accordance with our privacy policy.