Get Oh Phase I Cdca Application 2013-2025
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out the OH Phase I CDCA Application online
The OH Phase I Chemical Dependency Counselor Assistant (CDCA) Application is a crucial document for those seeking certification in chemical dependency counseling. This guide will help you navigate the online process of filling out this application accurately and efficiently.
Follow the steps to complete your application successfully.
- Click ‘Get Form’ button to access the application form and open it for editing.
- Provide your personal information. Fill in your applicant name, maiden name (if applicable), date of birth, and Social Security number. Ensure that you enter your current home and work addresses completely, including street number, street name, city, state, and zip code.
- Indicate your preferred mailing address and provide your home and mobile phone numbers. Include your work phone number and fax number if applicable. It is also important to provide a valid email address for future correspondences.
- Complete the personal history information section. Answer if you have ever had a professional license reprimanded, suspended, revoked, or sanctioned. Additionally, indicate if you have ever been convicted of a felony, and if so, ensure that you complete the felony questionnaire.
- Fill out the Chemical Dependency Specific Education Grid. List your chemical dependency counseling education chronologically, ensuring you meet the requirement of forty hours of education. Indicate the number of hours for each content area and ensure you provide verification for all education listed.
- Review and complete the Applicant Statement section. Affirm your good moral character, the accuracy of the information provided, and your agreement with the Chemical Dependency Code of Ethics. Sign and date this section.
- If you are paying the application fee, choose between submitting a check, money order, or credit card authorization. Ensure that you complete the payment section accurately.
- Before submission, use the Formal Application Checklist to confirm that all required components are completed and attached, including verification documents and fees. Once confirmed, save your application.
- Finally, download, print, or share the completed application as required. Submit the application and included documents to the Ohio Chemical Dependency Professionals Board.
Complete your OH Phase I CDCA Application online today and take a step closer to your certification.
To obtain your CDCA in Ohio, you'll need to complete a significant amount of training, which typically includes at least 40 hours of approved education in addiction counseling. Additionally, you must submit an OH Phase I CDCA Application that includes proof of your training and any required documentation. Support from USLegalForms is available to help you gather and organize everything necessary for your application.
Industry-leading security and compliance
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.