CPI Training Certificate Request Form Are you interested in earning continuing education units (CEUs)? To support the professional development of the prevention field, CPI offers CEUs for many of its onsite and online trainings. If you would like a record of your continuing education activities with CPI, submit the Training Certificate Request Form below and we will send you certificates for the trainings and CEUs you have completed. Please allow up to one week for processing. CPI provides CEUs through the following organizations: * California Association of Marriage and Family Therapists (CAMFT): includes LMFT, LCSW, LPCC, and LEP certifications * California Consortium of Addiction Programs and Professionals (CCAPP): includes CCPS, CADC-CAS, CADC I’s, CADC II’s, CCS, CA CCS, CCJP, CCDP, CRPM, and LAADAC * California Board of Registered Nursing (BRN) If you are applying for the California Certified Prevention Specialist (CCPS) certification through CCAPP, you can use these certificates to support the education portion of your application. This matrix can help you determine how the CPI trainings you have completed correspond to the CCAPP core areas:CPI Training Matrix for CCAPP Education Domains [XLSX 78 KB] > More information on prevention certification Note: CPI can help you document your training history, but we are not able to accept or process CCAPP applications. To apply for the Prevention Specialist Certification or for questions about it, please visit https://www.ccapp.us. First Name*Last Name*Phone*Email* CommentsPlease choose the certifying body for which you are requesting CEUs: California Board of Behavioral Sciences (BBS) California Consortium of Addiction Programs and Professionals (CCAPP) California Board of Registered Nursing (BRN) I am requesting training information for the follow types of CPI training services. Check all that apply.* Prevention Extension (Px) Trainings Webinars (Attended Live) Webinars (Watched Archived) Online Training Courses Prevention Extension (Px) Training DetailsPlease provide us with information on years applicable for Prevention Extension (Px) Training certificates. Check all that apply.* Oct 1 [2010] to Sept 30 [2011] Oct 1 [2011] to Sept 30 [2012] Oct 1 [2012] to Sept 30 [2013] Oct 1 [2013] to Sept 30 [2014] Oct 1 [2014] to Sept 30 [2015] Oct 1 [2015] to Sept 30 [2016] unknown If you remember titles for Prevention Extension (Px) Trainings attended, please list them.Webinars (Attended Live) DetailsPlease provide us with information on years applicable for Webinars (Attended Live) training certificates. Check all that apply.* Oct 1 [2010] to Sept 30 [2011] Oct 1 [2011] to Sept 30 [2012] Oct 1 [2012] to Sept 30 [2013] Oct 1 [2013] to Sept 30 [2014] Oct 1 [2014] to Sept 30 [2015] Oct 1 [2015] to Sept 30 [2016] Unknown If you remember titles for Webinars (Attended Live) attended, please list them.Webinars (Watched Archived) DetailsPlease provide us with information on years applicable for Webinars (Watched Archived) training certificates. Check all that apply.* Oct 1 [2010] to Sept 30 [2011] Oct 1 [2011] to Sept 30 [2012] Oct 1 [2012] to Sept 30 [2013] Oct 1 [2013] to Sept 30 [2014] Oct 1 [2014] to Sept 30 [2015] Oct 1 [2015] to Sept 30 [2016] Unknown If you remember titles for Webinars (Watched Archived) attended, please list them.Online Training Courses DetailsPlease provide us with information on years applicable for Online Training Courses certificates. Check all that apply.* Oct 1 [2010] to Sept 30 [2011] Oct 1 [2011] to Sept 30 [2012] Oct 1 [2012] to Sept 30 [2013] Oct 1 [2013] to Sept 30 [2014] Oct 1 [2014] to Sept 30 [2015] Oct 1 [2015] to Sept 30 [2016] Unknown If you remember titles for Online Training Courses attended, please list them.
