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Contact Information

We understand that you (or your employer) may have entered some of this information when purchasing your class, however we do not keep your financial information (as it is securely kept only by our payment processing company Stripe). Some questions may seem redundant, or not pertinent to you, but please fill out as completely as possible. Thank you for understanding.

This is the information we will be using to contact you regarding any class updates, for mailing your certificate of completion and course credits as well as for possible job placement through the IRSI Network. Please be as thorough as possible when filling in your details.

How did you find IRSI?
Payment for the class
Choose your class
Mailing address for your certificates:

Recovery Information

Tell us a bit more about yourself. Share as much or as little as you are comfortable. We will NEVER share this information without your permission. We use it to help place our graduates in recovery jobs through our IRSI Network. To be a recovery specialist, it is not necessary that you be personally in recovery from addiction or mental health issues.

Are you currently in recovery?
For how many years?
From which addiction(s)
Are you currently certified as a recovery specialist?
What year did you begin?
Your current certification number:
Anything else you wish to communicate to us?

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