Get Grandfathering Offer Application Form December 1 2015

The Grandfathering Offer Application Form is essential for individuals looking to obtain their Master Addiction Counselor credential. This guide will provide you with step-by-step instructions on how to effectively complete the form online.

Follow the steps to fill out the application form thoroughly.

1. Click 'Get Form' button to download the Grandfathering Offer Application Form and open it in your preferred document viewing platform.
2. Begin with the Personal Data section. Fill out your name, address, city/state/ZIP code, phone numbers, email, and employer details accurately as this information is crucial for contact purposes.
3. Move to the Payment/Fee Information section. Input the amount you are enclosing, either by check or credit card. Ensure that you indicate the correct fee based on your chosen payment method.
4. Review the Certification Descriptions and Eligibility requirements. Check if you meet the qualifications specified including educational background and experience, then gather the necessary documentation to support your application.
5. In the State Credential/License & Education Record section, indicate your credentials and corresponding state authority, along with the expiration date and an attached copy of your current state license.
6. Complete the Current Position section by providing details of your current job, including employer name, job title, duration, and supervisor contact details.
7. For the Professional References section, ensure that your references fill out the necessary questionnaires and send them directly to the NCC AP. They should include their evaluation of you based on specific traits mentioned.
8. Conclude with the Candidate’s Affirmation section by signing and dating the affirmation to certify that all information provided is true and complete.
9. Finally, double-check your application against the Candidate’s Checklist to ensure that all sections are completed and required documents are included before submitting.
10. Once completed, save your changes, download the document, print it out, or share it as required. Ensure that the application and supporting documents are sent to the designated address.

Complete your Grandfathering Offer Application Form online and take the next step in your professional journey.