CAC-AD (OUT OF STATE)Certified Associate Counselor-Alcohol and Drug

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CAC-AD - Application Packet Checklist (Out of State)

The following are the application requirements. All forms must be legible, complete, signed, and dated (where applicable) or processing may be delayed.

Completed Application, Signed & Notarized
CAC-AD Application Payment Receipt
2 x 2 Photograph (Passport sized)
Official Transcript
Out of State License Verification
Professional Experience Verification
NCAC Level II
Copy of MLA Certificate of Completion
Criminal History background Check

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Please upload your Completed Application, Payment Receipt and Supporting Document Here.

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