Cabinet Secretary
Matt Althoff
Board of Addiction and Prevention Professionals
Applications and Forms
Initial Applications
Addiction Counselor or Prevention Specialist
Certified Addiction Counselor (CAC)
- Application (Trainee Status awarded prior to July 1, 2024)
- Application for Testing (Trainee Status awarded July 1, 2024 and after)
- Application for Testing (Trainee Status awarded July 1, 2024 and after)
Certified Preveniton Specialist (CPS)
- Application (Trainee Status awarded prior to July 1, 2024)
- Application for Testing (Trainee Status awarded July 1, 2024 and after)
Licensed Addiction Counselor (LAC)
- Application (Trainee Status awarded prior to July 1, 2024)
- Application for Testing (Trainee Status awarded July 1, 2024 and after)
- Application for Status Upgrade to LAC
Course Review Forms
Continuing Professional Training Approval Forms
Other Forms
- Attachment A – Supervisor Evaluation (Trainee Status awarded July 1, 2024 and after)
- Attachment B - Tracking Form (Trainee Status awarded July 1, 2024 and after)
- Prevention Code of Ethics
- Supervised Practical Training Hours Worksheet CAC-LAC
- Supervised Practical Training Hours Worksheet CPS
- Trainee Supervisor Change Form
- Work Experience Verification for Independent Practice