OH Phase I CDCA Application 2013-2025 free printable template

O. /C. C. Page 3 Credit Card Payment Authorization Form Master Card Please check one Visa Cardholder Name Address City State Zip Telephone Email Address for receipt Credit Card Number Expiration Date CVV2/CID Code Three digit number on back of card Payment Amount Payment for exam application etc Signature 77 South High Street 16th Floor Columbus Ohio 43215 This document will be shredded after your payment is processed. Page 4 FORMAL APPLICATION CHECKLIST To facilitate the review of your CDCA...

How to fill out cdca application form

How to fill out OH Phase I CDCA Application

1. Visit the official CDCA website to access the application form.
2. Create an account or log in if you already have one.
3. Complete the personal information section, including your name, contact details, and education history.
4. Provide details about your dental education, including the name of your school and dates attended.
5. Upload any required documentation, such as transcripts or proof of graduation.
6. Fill out the clinical experience section by detailing relevant work or volunteer experiences.
7. Review the application for completeness and accuracy.
8. Submit the application and pay any associated fees.

Who needs OH Phase I CDCA Application?

1. Individuals seeking licensure or certification in dental assisting or dental hygiene.
2. Those who have completed a dental program and wish to apply for the OH Phase I CDCA examination.
3. Professionals wanting to practice in a state that requires this application for clinical dental assistance.

People Also Ask about

What is the job description for CDCA Ohio?

The CDCA is responsible for providing client assessments, monthly counseling, crisis intervention and other services to assist the client in the treatment process.

How many hours do you need for CDCA in Ohio?

It requires 40 hours of education in certain content areas shown on the CDCA Preliminary Grid. Individuals must hold the CDCA Preliminary for a minimum of 10 months before applying for the next CDCA certificate.

How much does a CDCA make in Ohio?

Chemical Dependency Counselor Assistant Salary in Ohio Annual SalaryMonthly PayTop Earners$47,991$3,99975th Percentile$37,936$3,161Average$38,168$3,18025th Percentile$28,337$2,361

How much is the CDCA application Ohio?

You will be required to upload and attach all required forms. PLEASE TAKE THE TIME TO READ/VIEW ALL OF THE MATERIAL THOROUGHLY. You will be required to pay the $50 application fee ($35 if you are converting from an LCDC II, LCDC III or an OCPS to a higher license/certificate).

What are the requirements to be a CDCA in Ohio?

Ohio CDCA Certification Education Requirements and Courses Theories of Addiction – 5 Hours. Counseling Procedures and Strategies with Addicted Populations – 14 Hours. Group Process and Techniques Working with Addicted Populations – 5 Hours. Assessment and Diagnosis of Addiction – 3 Hours. Treatment Planning – 7 Hours.

For pdfFiller’s FAQs

Can I create an electronic signature for signing my OH Phase I CDCA Application in Gmail?

You can easily create your eSignature with pdfFiller and then eSign your OH Phase I CDCA Application directly from your inbox with the help of pdfFiller’s add-on for Gmail. Please note that you must register for an account in order to save your signatures and signed documents.

How can I fill out OH Phase I CDCA Application on an iOS device?

In order to fill out documents on your iOS device, install the pdfFiller app. Create an account or log in to an existing one if you have a subscription to the service. Once the registration process is complete, upload your OH Phase I CDCA Application. You now can take advantage of pdfFiller's advanced functionalities: adding fillable fields and eSigning documents, and accessing them from any device, wherever you are.

How do I fill out OH Phase I CDCA Application on an Android device?

Complete your OH Phase I CDCA Application and other papers on your Android device by using the pdfFiller mobile app. The program includes all of the necessary document management tools, such as editing content, eSigning, annotating, sharing files, and so on. You will be able to view your papers at any time as long as you have an internet connection.

What is OH Phase I CDCA Application?

The OH Phase I CDCA Application is a form used for the initial assessment of potential contamination in soil, groundwater, and other environmental media at a site in Ohio. It is part of the Clean Ohio Program aimed at ensuring proper environmental management.

Who is required to file OH Phase I CDCA Application?

Individuals or entities engaging in activities that may impact the environment, such as property owners, developers, or businesses seeking to conduct construction or redevelopment projects on a site are required to file the OH Phase I CDCA Application.

How to fill out OH Phase I CDCA Application?

To fill out the OH Phase I CDCA Application, applicants must provide detailed information about the property, including its location, historical usage, and current condition. The form typically requires supporting documents such as maps, environmental assessments, and any previous reports related to the site.

What is the purpose of OH Phase I CDCA Application?

The purpose of the OH Phase I CDCA Application is to evaluate the potential for environmental contamination at a site, facilitating the safe and responsible redevelopment of land while protecting public health and the environment.

What information must be reported on OH Phase I CDCA Application?

The application requires information such as the site's address, legal description, the history of its use, existing environmental conditions, and any previous assessments conducted. It also requires identification of potentially contaminating activities and nearby hazardous sites.