RCP Online Application

Please complete the RCP Online Application below. 60 CEUs/training hours is required including the CCAR RCA and the CCAR Ethics training.

An official copy of all CCAR training certificates is needed.

You will need to include file uploads (jpeg, pdf, doc) of certificates/documentation, and resume (if you choose to include it.)

Please be sure you have read the Code of Ethics and Conduct for CCAR RCPs

Direct questions to Chenay Powell at CCAR.

Name *

First

Last

Email *

Phone *

Home Address *

Address Line 1

Address Line 2

City

State

Zip Code

If Employed, Organization Name

If Employed, Position/Role?

Date CCAR RCA was Completed *

Name of RCA Trainer(s) *

Upload your RCA Certificate here

Click or drag a file to this area to upload.

Date CCAR Ethical Considerations was Completed *

Name of Ethics Trainer(s) *

Upload your Ethics Certificate here

Click or drag a file to this area to upload.

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Additional Training #1 *

Date Training #1 was Completed *

Sponsoring Organization for Training #1 *

Number of Contact Hours/CEUs earned in Training #1 *

Upload your #1 Training Certificate here

Click or drag a file to this area to upload.

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Additional Training #2

Date Training #2 was Completed

Number of Contact Hours/CEUs earned in Training #2

Upload your Training #2 Certificate here

Click or drag a file to this area to upload.

Additional Training #3

Date Training #3 was Completed

Sponsoring Organization for Training #3

Number of Contact Hours/CEUs earned in Training #3

Upload your Training #3 Certificcate here

Click or drag a file to this area to upload.

Candidates may include a statement outlining their personal experience (as a person in recovery, family member or ally) with addiction recovery. This could be years in recovery, experience with a specific pathway, dealing with a loved one’s addiction, etc. Candidates may wish to include their motivation for wanting to become a CCAR Recovery Coach Professional (RCP)©. You may skip this piece, if you would like, you may upload a resume below.

If you elected to upload your resume do so here.

Click or drag a file to this area to upload.

I agree

I attest that all the information I have included in my application is true and accurate. *

I agree

Name

$149 Application Fee

Applications will be reviewed once we receive confirmation of payment.

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