RCP Online Application

Please complete the Recovery Coach Professional (RCP) Online Application below. Sixty (60) CEUs/training hours are required including the CCAR Recovery Coach Academy (RCA) and the CCAR Ethical Considerations for Recovery Coaches training.

You will need to include all certificates/documentation for ALL trainings you have completed (including CCAR's) as file uploads (jpeg, pdf, doc) of certificates/documentation, and your 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 cart@ccar.us

Name *

First

Last

Email *

Phone *

Home Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

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, and include a resume instead (attach below).

If you elected to upload your resume do so here.

Click or drag a file to this area to upload.

I am currently a CCAR Facilitator *

I agree
I disagree

I agree

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

I agree

Voucher Code

If you have been given a voucher number to bypass payment, please include it here.

Phone

$149 Application Fee

Applications will be reviewed once we receive confirmation of payment. (No refunds or transfers).

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