Mental Health Association of Southeastern Pa.
CPS Supervisor Training- Luzerne County
Thank you for your interest in our programs.
Before completing the application, be prepared to:
Upload the required resume and Employer Verification Form. The Employer Verification Form can be found at
Employer Verification Form
You cannot move forward on this application until you have answered all required questions on the displayed page.
Required questions are marked with a red (*)
If you have any questions, please contact: Sarah Perez Hernandez de Conkin, 267-507-3888;
Application deadline: May 3, 2017
Demographic and Identification Information
OMHSAS Criteria: Educational History
OMHSAS Criteria: Mental Health Direct Care Experience
OMHSAS Criteria: Verification of CPS Supervisor Role
May 17-18, 2017
Please select your desired training dates.
Do Not Fill This Out