DUCEY TOBI ZAVALA Governor Executive Director APPLICATION FOR ASSOCIATE SUBSTANCE ABUSE COUNSELOR LICENSURE FOR APPLICANTS WITHOUT AN ARIZONA LSAT LICENSE PART I - azbbhe 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin with Part I: Personal Information. Fill in your gender, social security number, date of birth, and legal name. Ensure all fields are completed accurately.
  3. Provide your current address and contact information. Remember to include a business address if applicable, as this will become public information.
  4. In Part II: Legal Residency, declare your citizenship status and attach the required documentation as specified.
  5. Proceed to Part III: Education Information. List all colleges attended chronologically and ensure you include official transcripts in a sealed envelope.
  6. Complete the sections regarding supervised work experience and clinical supervision as required in Parts VI and VII.
  7. Review all sections for completeness before submitting your application through our platform.

Start filling out your application today using our editor for a seamless experience!

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