Follow the steps to successfully complete your application.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering your personal information, including your first name, middle initial, last name, and birth date. Ensure that this information is typed or written legibly.
3. Indicate your gender by selecting either 'M' for male or 'F' for female. This section is important for demographic purposes.
4. Fill in your home address, including city, state, and zip code. This information is essential for communication purposes.
5. Provide your home phone number and cell phone number. If you do not have a cell phone, leave that field blank.
6. Enter your home email address. This will be used for electronic correspondence regarding your application.
7. Answer whether you are currently employed by selecting 'YES' or 'NO.' If you are employed, provide your current employer's name, address, city, state, zip code, and contact details.
8. Indicate if you prefer to receive mail and email at your home or work by circling your preference.
9. If you are a CCAR volunteer, select 'YES' or 'NO,' and if applicable, provide the location and dates of your volunteer service.
10. Complete the 'Ethnicity and Language Assets' section by selecting your ethnicity and listing any languages you speak besides English.
11. Respond to the application questions regarding your understanding of recovery, your interest in attending the academy, how you will use the knowledge gained, and why you are requesting a scholarship.
12. List three references we can contact regarding your scholarship request, ensuring to include their name, relationship to you, and phone number.
13. If applicable for ATR candidates, provide the name, agency, email, and phone number of your Recovery Oriented Vocational Services referral source.
14. Once all sections are completed, review your application for accuracy. Save changes, and proceed to download, print, or share the completed form as needed.

Complete your CCAR Recovery Coach Academy Scholarship Application online today!