A PROFESSIONAL DEVELOPMENT SEQUENCE

Addiction services agencies have become an important element in our nation’s health
care delivery system, employing professional managers, counselors and service
providers.  Those who wish to pursue a career in the treatment of alcoholism/chemical
dependency should be familiar with the functions of a counselor and the diverse
populations served by  a complex network of treatment modalities.  They must possess
the knowledge, skills and techniques necessary for the successful treatment of
individuals and families afflicted by alcoholism and/or other drug addictions.  The Adcare
Educational Institute,  Addiction Counselor Education Program assists in the professional
development of people involved in an important and growing health care service field.

THE ADMISSION PROCESS

Candidates’ qualifications are reviewed by the Director of the Addiction Counselor
Education Program.  Completion of a high school diploma or GED, narrative statement,
and personal interview are all considered when an application is reviewed.

All admission materials become the property of the Addiction Counselor Education
Program and may not be returned to you or submitted to other parties for any other use.

Admission to the Addiction Counselor Education Program is determined without regard to
race, color, sex, religion, or national origin.

Students may start the program in September.

GENERAL INSTRUCTIONS

Application to the Addiction Counselor Education Program consists of the following:
(Submit the application, fee, transcripts and narrative together.)

• Application and $25 non-refundable fee payable to AdCare Educational Institute

• Narrative Statement

• High School Transcript or GED

• Personal Interview

ACCEPTANCE

After a candidate submits an application and supportive material, an appointment will be
scheduled with the program director.  Admission decisions are made on an individual
basis; candidates will be notified, in writing, as soon as a decision has been made.

TO APPLY

First, complete the online application form below, or download and complete the linked PDF application form.

Please submit these additional required application sections to the Addiction Counselor Education Program:
• $25 non-refundable fee payable to AdCare Educational Institute; and
• High School Transcript or GED.

After a candidate submits an application and supportive material, an appointment will be
scheduled with the program director.  Admission decisions are made on an individual
basis; candidates will be notified, in writing, as soon as a decision has been made.

After a candidate submits an application and supportive material, an appointment will be
scheduled with the program director.  Admission decisions are made on an individual
basis; candidates will be notified, in writing, as soon as a decision has been made.

A TRANSCRIPT IS REQUIRED FROM YOUR MOST RECENT EDUCATIONAL EXPERIENCE.

PLEASE SEND TO:
AdCare Educational Institute, Inc.
255 Park Ave. Suite 600
Worcester, MA 01609

Sincerely,
Linda Mullis
Program Director
413-330-9828
cadaclm@cox.net

ONLINE APPLICATION FORM:

*(denotes required field)

First Name: *

Middle Name:

Last Name: *

E-Mail Address: *

E-Mail Address again: *

Please enter your E-mail Address a second time.

1b. Other Name(s) under which records may be found:

2. Home Address (Street, City, State, Zip): *

3. Mailing Address (Street/P.O. Box, City, State, Zip): *

4a. Home Telephone:

4b. Cellular Telephone:

4C. Work Telephone and Extension:

OPTIONAL This information is optional and is being used for statistical purposes only. It will be held in the strictest confidence.

Optional Information - Date of Birth (Month/Day/Year):

Optional Information - Gender:

Male
Female

Additional Optional Information:

Person with Disabilities
Disabled Veteran
Vietnam Era Veteran

Optional Information: 12-Step/Self-Help Involvement:

Yes
No

Optional Information: Length of Commitment:

Optional Ethnicity Information:

Alaskan Native
American Indian
Asian/Pacific Islander
White (Non-Hispanic)
Black (Non-Hispanic)
Cape Verdean
Hispanic
Other

Please indicate if special accommodations are needed:

Optional: Special Accommodations:

6. Previous Educational Training - List in chronological order. Include High School or GED with the date completed. Include all colleges attended. If you attended Westfield State College, indicate whether you were a Day Division, Continuing Education or Credit-Free student.

Include the Institution, Location, Dates Attended, Total Credits, Diploma/Degree or Certificate Awarded.

7. Work Experience: *

8. List previous experience (volunteer, etc.) related to your knowledge on alcohol and other drug issues: *

9. How did you hear about the program? *

10. Please complete and attach a narrative statement indicating what motivated your decision to enter the Addiction Counselor Education Program. *

Acceptable file types: doc,pdf,txt,gif,jpg,jpeg,png.
Maximum file size: 1mb.

Typewritten (preferred - but not necessary)

No more than two pages (double spaced - one sided)

I certify that I have read and understand the general admission information on this application and that the information in this application is true and complete to the best of my knowledge.

Security Code: Please type in the letters or numbers that you see in the box above. (An audio option is also available.) *

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