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Application Packet Credentialed Alcoholism and Substance Abuse Counselor 2026

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  1. Click ‘Get Form’ to open the Application Packet in our editor.
  2. Begin with the 'Personal Information' section. Fill in your last name, first name, middle initial, and Social Security Number clearly.
  3. Proceed to the 'Mailing Address' field. Ensure you provide a complete address including street, city, state, and zip code.
  4. In the 'Educational Information' section, attach proof of your highest level of education such as a diploma or transcript.
  5. Complete Part A - Application Summary Form by signing and dating it on the reverse side. This must be done within one year prior to submission.
  6. Review all sections for accuracy before submitting. Make sure to include the $100 Application Processing Fee attached to Part A.

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