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ABCAC Board Member Application

Thank you for your interest in joining the Arizona Board for the Certification of Addiction Counselors (ABCAC) Board of Directors. Please complete the application below and submit it with your resume or CV.

Applicant Information

Full Name *

Preferred Name (if different)

Email Address *

Phone Number *

Mailing Address

Professional Background

Current Job Title

Organization / Employer

Years in the Behavioral Health / Addiction Counseling Field

Certifications (check all that apply)

CADACCCJPAADCCCSCPSCPRS

Other (please specify)

Application Questions

Why do you want to join the ABCAC Board? *

What strengths, skills, or expertise would you bring to the Board?

What is your experience with professional certification, credentialing, or ethics in the behavioral health field?

Availability

Are you available to attend quarterly board meetings (in person or virtually)?

Yes No

Are you willing to participate in board committees or special projects as needed?

Yes No

Supporting Documents

Resume or CV * (PDF or Word, up to 8 MB)

Letters of reference or supporting materials (optional)

I confirm that the information provided in this application is accurate and complete. I understand that submitting this application does not guarantee selection and that board membership is subject to board review and approval. *

ABCAC

ABCAC
PO Box 83165
Phoenix, AZ 85071
480-980-1770
abcac@abcac.org

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ABCAC is an independent member board of the International Certification & Reciprocity Consortium (IC&RC).