Technical Assistance

Form Purpose:
Please only use this form to submit requests for technical assistance from the Peer Experience National Technical Assistance Center (PENTAC). If your request concerns the membership portal or any other issue, please use the Contact Us link in the top menu. Thank you.
First Name *
Last Name *
Email Address *
Phone *
Organization
Professional Title
Address Line 1
Address Line 2
City
State
Zip/Postal Code
Organization Classification (Check all that apply)	Behavioral Health Organization Employer or Potential Employer of Peers State or Local Government Agency Peer-Run Organization Youth Focused Organization
If requesting TA as in Individual, please complete	Peer Specialist Certification Supported Education Services Employment, Entrepreneurial, Personal Financial Literacy
Please describe your Technical Assistance Request *
What goals and outcomes do you have for your Technical Assistance Request? *

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This website was developed [in part] under grant number SM080855 and SM082663 from the Substance Abuse and Mental Health Services Administration (SAMHSA), U.S. Department of Health and Human Services. The views, policies, and opinions expressed are those of the authors and do not necessarily reflect those of SAMHSA or HHS.

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Leadership & Advocacy

Leadership
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