Student Partial Scholarship
Application for CAADAC Courses
 

Please fill out the form below carefully. Your information will be used to assess you based upon a CI committee reviewing all applicants. Submission for the scholarship is ongoing. Applicants shall receive a response within seven business days after submitting their application. The scholarship is for half the cost of all seven courses, excluding the books, and is contingent upon satisfactory performance in each course. The amount of the scholarship is $150 per course and the other half of $150 is payable before enrollment in the course. Thank you for your interest. Please make sure your telephone number and email address are correct.

 

First Name
Middle Name
Last Name
Email Address
Telephone Number
Street Address
City
State
Zip Code
Current Educational Level
State any professional work you have in the drug and alcohol counseling field.
In at least 150 words, describe what has led you to want to become a substance abuse counselor.
What do you want to do once you are certified?
What is your inspiration for wanting to become a substance abuse counselor?
Why do you want this partial scholarship?
Use this space for any additional comments you think would enhance your application.
Are you able to afford $150 for each course?
After clicking submit, you will be taken to CI's home page upon a successful transmission.
 

 

     
 
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