NCCAP NCPRSS Renewal Application -3 2017 dc-2026

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  1. Click ‘Get Form’ to open the NCCAP NCPRSS Renewal Application -3 2017 dc in the editor.
  2. Begin by filling out your personal data. Select your title (Dr., Mr., Ms.) and provide your complete contact information, including name, address, phone numbers, and email. If applicable, upload a legal document for any name changes.
  3. In the Confirmation of Recovery section, affirm your ongoing recovery status by signing and dating the form.
  4. Complete the Career History section by detailing your employment history in peer recovery support over the past two years. Start with your current position and work backward, providing supervisor details and job descriptions as needed.
  5. For Continuing Education Hours, certify that you have completed the required training hours by signing and dating this section.
  6. Review and sign the NAADAC/NCC AP NCPRSS Code of Ethics acknowledgment.
  7. Finally, complete the Candidate’s Affirmation section, ensuring all information is accurate before submitting payment details.

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