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53 WENDELL ROAD, POUGHKEEPSIE NY 12601 (845) 4318900Alcohol/ Drug Addiction Counselor Training Program Application For Admission Last Name:First Name:___Street:____________City/State/Zip: ___ Home
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How to fill out casac student attestation form

01
To fill out the CASAC student attestation form, follow these steps:
02
Start by downloading the CASAC student attestation form from the official website or obtain it from your educational institution.
03
Read the instructions and fill out the personal information section at the top of the form, including your full name, address, contact details, and student identification number.
04
Identify the specific certification or examination you are attesting to, and provide the necessary details such as the certification number, date, and location.
05
If applicable, indicate any exceptions, waivers, or accommodations you are requesting and provide supporting documents if necessary.
06
Sign and date the form at the bottom to certify the accuracy of the information provided.
07
Submit the completed form to the relevant authority or educational institution as instructed.

Who needs casac student attestation form?

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CASAC student attestation form is required by individuals seeking certification or examination in the field of substance abuse counseling. It is typically needed by students enrolled in CASAC programs or those pursuing a career in substance abuse counseling. The form serves as a confirmation of their eligibility, completion of required coursework, and willingness to adhere to ethical standards in the field of substance abuse counseling.
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The CASAC (Credentialed Alcoholism and Substance Abuse Counselor) student attestation form is a document used to verify a student's enrollment and status in a relevant educational program as part of the process of obtaining a CASAC credential.
Individuals who are enrolled in a CASAC training program and are seeking to obtain their CASAC credential are required to file the CASAC student attestation form.
To fill out the CASAC student attestation form, applicants must provide their personal information, details about their educational program, the date of enrollment, and verify their status by signing the form.
The purpose of the CASAC student attestation form is to confirm that an applicant is actively participating in an approved training program, which is a prerequisite for obtaining the CASAC credential.
The CASAC student attestation form must report the student's name, contact information, program name, date of enrollment, expected completion date, and a signature to attest to the accuracy of the information.
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