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Application for Admission


ALCOHOL AND OTHER DRUG STUDIES FOR CADC-I CERTIFICATION

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First Name*    :    MI      :    Last Name*   :

Address*         :    City*    :    State*            : Zip* :

  • Phone*            :
  • :
  • E-Mail*          :

  • Current educational level is:
  • Are you a U.S. Citizen?
  • Current Employer:                

Why are you interested in becoming a Certified Alcohol/Drug Counselor? *

How did you hear about Sovereign Institute’s Drug and Alcohol Studies Program?

Do you have any additional comments or questions?

Please indicate any area(s) in which you would like additional academic and/or financial advising: