CCAR Recovery Coach Academy Scholarship Application Preview on Page 1

CCAR Recovery Coach Academy Scholarship Application 2026

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  1. Click ‘Get Form’ to open the CCAR Recovery Coach Academy Scholarship Application in our editor.
  2. Begin by entering your personal information in the designated fields, including your first name, last name, and birth date. Ensure that you type or print legibly for clarity.
  3. Indicate your gender by selecting either 'M' or 'F'. Fill in your home address, city, state, and zip code accurately.
  4. Provide your contact numbers and email address. If currently employed, answer 'YES' or 'NO', and fill in your employer's details if applicable.
  5. Complete the ethnicity and language assets section by checking the appropriate boxes and listing any additional languages you speak.
  6. Answer the questions regarding your understanding of recovery, interest in attending the academy, how you will use the knowledge gained, and why you are requesting a scholarship.
  7. List three references with their names, relationships to you, and phone numbers for verification purposes.
  8. If applicable for ATR candidates, provide details about your Recovery Oriented Vocational Services referral source.

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2018 State of Indiana, All Rights Reserved. - DWD - INTraining

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