This form is for Certified Family Partners to apply for recertification.

Via Hope policy requires you complete a minimum of twenty (20) hours of continuing education to be eligible for recertification. You must submit documentation for training and events you attended and you must list them on the following form. If your CEUs are not on the pre-approved CEU list, you will need to fill out and submit a CEU Approval Form for those trainings. Once your application has been approved, you will receive an invoice for your $10.00 recertification fee. An additional $10.00 will be added for late applications for recertification.

Anyone selected who is unable to provide documentation will have their recertification revoked. If you are unsure of what training, conferences, and other events qualify for continuing education, refer to the Policy and Procedure manual. Please feel free email us at if you have any questions about the recertification process.

  • Name * Required
  • Home Address: * Required
  • Please choose one: * Required
  • List the approved trainings and other events for which you have earned C.E.U. credit during the twenty four month certification period.

  • Click the plus (+) sign to add more participated trainings.
    Name of Training / EventDate(s)Location (City)# C.E.U.s 
  • The information on this page is optional, but will help Via Hope improve our family partner training program. We are very interested in knowing more about the employment status of the people who have completed the certification training. This information is voluntary and does not affect your certification in any way.
  • Employment Status: * Required
  • If employed or volunteering, please provide your organization’s information:

  • Address: * Required
  • To your knowledge, has your supervisor or any other staff in the organization taken the Via Hope Supervisors training? * Required
  • Are you fluent (written and verbal) in any other language(s) besides English?
  • Accepted file types: PDF, DOC, JPG, PNG
    Drop files here or
    Accepted file types: jpg, png, pdf, doc.
    • Date Format: MM slash DD slash YYYY
    • Optional Demographic Information

      Used by Via Hope to measure diversity in the peer workforce.
    • Age Group:
    • Race/Ethnicity

      Check all that apply
    • Do you consider yourself of Latino or Hispanic origin?
    • What is your race/ethnicity?
      Check all that apply
    • Are you either an Active Member or Veteran in the Armed Forces?
    • This field is for validation purposes and should be left unchanged.