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Certified Addiction Counselor Work Experience Verification Form DIRECTIONS This form allows for one employer to document work hours as required for the CAC credential. Provide a separate form to each
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How to fill out CAC Work Experience Verification Form

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How to fill out CAC Work Experience Verification Form

01
Gather all relevant employment information before starting the form.
02
Start with your personal details at the top of the form, including your name, contact information, and address.
03
List your work experience in chronological order, starting with the most recent employment.
04
For each job, include the name of the employer, your job title, and the duration of employment.
05
Provide a detailed description of your job responsibilities and achievements for each position.
06
If applicable, include any certification numbers or licenses related to your work experience.
07
Review the form for any errors or omissions before submission to ensure all information is accurate.
08
Sign and date the form where required.

Who needs CAC Work Experience Verification Form?

01
Individuals applying for certification or licensure in fields that require verification of work experience.
02
Employers or organizations that need to validate an applicant's professional background.
03
Students or trainees seeking internships or job placements related to their work experience.
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The CAC Work Experience Verification Form is a document used to verify the work experience of candidates applying for certifications or licenses, particularly in fields regulated by the CAC.
Individuals seeking certification or licensure through the CAC must file the CAC Work Experience Verification Form to confirm their relevant work experience.
To fill out the CAC Work Experience Verification Form, candidates must provide personal information, details of their work experience, including job titles, dates of employment, and descriptions of duties, and obtain signatures from supervisors or employers for verification.
The purpose of the CAC Work Experience Verification Form is to ensure that candidates have the required professional experience to qualify for certification or licensure, thereby maintaining standards within the profession.
The information that must be reported on the CAC Work Experience Verification Form includes the candidate's personal identification data, complete employment history, specific job responsibilities, supervisor's contact information, and dates of employment.
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