RevisedJuly2011CADCApplicationCertifiedAlcoholandDrugCounselorDirections/Checklist□Officialtranscriptrequiredsentdirectlyfromcollege/universitytothePCBOffice.□Certificatesofattendancefortrainings.□Allrequireddocumentationtosupportemployment(i.e.lettersfromformeremployersverifyingemployment,currentjobdescription,signedanddatedbyapplicantandsupervisor).□SignanddatetheCodeofEthicalConduct.□Releaseformnotarized.□Supervisionformcompletedandsignedbysupervisor.□Feeof$350.Maybepaidbycheck/moneyorder(payabletoPCB)orwithVISAorMasterCard.One-halfoffeeisrefundableifapplicationisdeniedorcancelledpriortotheexam–norefundifapplicationisdeniedorcancelledafterexam.IfyouhaveothercredentialswithPCB,pleasecalltheofficebeforeapplying.Whentheapplicationisapproved,youwillbenotifiedaboutschedulingtheexam.Ifthereareanyproblemswiththeapplication,youwillbenotifiedbyemailorphone.Keepaphotocopyoftheentireapplication.Sendyourcompletedapplication,copiesofcertificatesofattendance,attachments,andfeeto:PCB298S.ProgressAvenueHarrisburg,PA17109Phone:(717)540-4455Fax:(717)540-4458Website:www.pacertboard.orgEmail:HYPERLINK"mailto:info@pacertboard.org"info@pacertboard.orgREQUIREMENTSforCADCEmploymentTwoyears(4000hours)ofemploymentasanalcoholanddrugcounselororsupervisorofsame.Threeyears(6000hours)ofemploymentisrequiredifdegreeisnotinabehavioralsciencefield.Employmentmusthavebeengainedwithinthelastsevenyears.Applicantmustspendatleast51%ofhis/hertimeprovidingdirectalcoholanddrugcounseling.SupervisedworkexperiencemustbeintheeightADCdomains.Applicantmustbecurrentlyemployedinanalcoholanddrugcounselingpositionatthetimeapplicationissubmitted.Acceptableemploymentisbasedonapplicantprovidingdirect,primaryalcoholanddrugcounselingtopersonswhoseprimarydiagnosisisthatofalcoholand/ordrugaddictionorthatapplicantisprovidingsupervisionofaddictioncounseling.Applicantmusthaveprimaryresponsibilityforprovidingcounselinginanindividualand/orgroupsetting,preparingtreatmentplan