Section 1: Basic Information

Full Name *

Phone *

Email *

City / Country of Residence *

Section 2: Certification / Background

Which best describes your current status? *

If currently certified, please list your certification number if applicable

Do you have lived experience in recovery and/or family recovery support? *

Yes

Prefer to discuss during follow-up

Briefly describe your background in peer support, recovery support, or helping roles *

Section 3: Interest in the Role

Why are you interested in working with A Design for Living Foundation? *

Which areas are you most interested in supporting? *

One-on-one peer support

Family recovery support

Community outreach

Reentry / transition support

Employment support connection

General peer support work

Are you comfortable working in community-based / real-world settings? *

Yes

Somewhat

Section 4: Availability

What type of involvement are you looking for? *

Part-time

Flexible / as-needed

Volunteer now, paid opportunity later

Open to discussing

What days are you generally available? *

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

What times are you generally available? *

Morning

Afternoon

Evening

Flexible

Section 5: Work Readiness

Do you have reliable transportation? *

Yes

Sometimes

Are you comfortable communicating with individuals and families in early recovery? *

Yes

Somewhat

What strengths would you bring to this role? *

Section 6: Resume / Additional Info

Upload Resume (If Available)

PDF, DOCX or DOC ( max 1 Files )

Anything else you’d like us to know?

Section 7: Acknowledgement

I understand this is currently a part-time / flexible paid opportunity with no benefits at this time. I understand that submitting this application does not guarantee placement or employment.

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