Peer Mentor Application Form

Opportunity /

PEER MENTOR

Role overview / CRI Peer Mentors are trained to enhance the Drug and Alcohol Service within the establishment by supporting their peers on their recovery journey.
CRI Peer Mentors are those who have had previous issues with drugs and/or alcohol use and have overcome their dependency. They are role models and an inspiration to others.
All candidates will need to complete an application form, interview and training process to successfully start the role.
Key responsibilities / Responsibilities will include a range of the following:
·  Promote your role within the establishment
·  Promote the drug and alcohol service
·  Take part in reception and greeting duties
·  Welcome service users accessing the service
·  Manage the open access space
·  Be a positive role model at all times
·  Offer support to service users accessing the service
·  Assist service users with form filing
·  Support clients with making difficult phone calls
·  Establish a relationship of trust, maintaining boundaries
·  Provide confidential support and advice
·  Keep records of peer mentoring activity
·  Assist with day to day office duties such as answering the phone, support the team with administrative tasks and record keeping
·  Contribute to the safeguarding of peers
·  Assist with the delivery of recovery group work sessions
·  Undertake training as appropriate and required
·  Attend Peer Mentor meetings
·  Outreach support to hard to reach groups
·  Service user involvement
Essential skills / ·  Stable on recovery journey. Abstinent for a minimum of 15 weeks
·  An understanding of the issues around drug and alcohol use
·  Friendly and approachable
·  Ability to listen and communicate
·  Ability to empathies, regardless of individual’s offence, religion or ethnic background
·  Ability to maintain and respect confidentiality
·  A high level of reliability and commitment
·  Commitment to training and development of own peer mentoring skills
·  Good verbal and written communication skills
Desirable Skills / ·  Level 1 or Level 2 Literacy skills
·  A 6 month commitment
What CRI can offer you / ·  An accredited Peer Mentor training and OCN Qualification
·  Further training at head office
·  Assistance with personal and professional development
·  A clear understanding of how services operate in substance misuse, the criminal justice system, families and carers and street based services.

Peer Mentor Application form

Surname
Forename
Title (Mr/Ms/Mrs/Miss etc)
Address
Postcode
Telephone (home) / Mobile phone number
Email Address
Most recent work experience
Dates
Duties
Most recent education
Dates
Referees
Please supply details of two people who could provide references for you.
We are unable to accept references from a family member or personal friend. Referees must be relevant and appropriate, where there is no employment history a reference could be supplied by a college tutor or key worker.
Name of first referee
In what capacity do you know them
Contact details including email address and phone number
Name of second referee
In what capacity do you know them
Contact details including email address and phone number
Please outline below why you feel you would like to do voluntary work for CRI and give details of any relevant skills and experience.
Please attach additional sheets if more space is required.
Do you require a work permit or any other kind of document to show that you have necessary permission to reside in the UK? / Yes / No
Are you related to, friends with or in a relationship with any current or former CRI staff member, volunteer or service user? / Yes / No
If you answered yes to any of the questions above, please give details below
Do you have a current drivers license? / Yes / No
Have you ever been convicted of a criminal offence, received a formal caution, been bound over or received a conditional discharge? / Yes / No
Do you have any police investigations or charges pending? / Yes / No
If yes to either of the two questions above, please give full details, (continue on a separate sheet if necessary)
Would you be willing to undergo a Disclosure and Barring Service check? / Yes / No
Do you know of any medical condition which may affect your ability to work? / Yes / No
The information I have given in this application is, to the best of my knowledge, accurate.
I understand that false or misleading information will affect my application or employment with CRI
Signature Date
Peer Mentoring Information Sharing Consent Form
I ______consent to CRI staff contacting the following agencies in relation to my application to the Peer Mentoring Programme (including referral agent)
And for these agencies to share information about me with CRI and vice versa. I understand that only information relevant to my participation or progression on the programme will be shared.
Information that I have provided is to be held on file according to the Data Protection Act. It may be used as part of the assessment for my application or in relation to my support on the programme. I understand that information received will remain confidential to CRI and other organisations working with them.
I understand that information may be shared without my consent in the event that:-
A child may be at risk
Other parties may be at risk
Disclosure of a serious crime
Signed……………………………………………………..
Date………………………………………
Printed Name………………………………………………………………..