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The Association for Addiction Professionals

Applications & Forms

Credential & Endorsement Applications

Updated 07-2016

National Certified Addiction Counselor (Level I)

      NCAC I Initial Application
      NCAC I Renewal Application
 

National Certified Addiction Counselor (Level II)

      NCAC II Initial Application
      NCAC II Renewal Application
 

Master Addiction Counselor with Co-Occurring Disorders Component

      MAC Initial Application
      MAC Renewal Application
 

Nicotine Dependence Specialist

      NDS Initial Application
      NDS Renewal Application
 

National Certified Adolescent Addictions Counselor

      NCAAC Initial Application
      NCAAC Renewal Application
 

National Certified Peer Recovery Support Specialist

      NCPRSS Initial Application
      NCPRSS Renewal Application
 

National Endorsed Student Assistance Professional

      NESAP Initial Application
      NESAP Renewal Application
 

National Endorsed Co-Occurring Disorders Professional

      NECODP Initial Application
      NECODP Renewal Application
 

National Clinical Supervision Endorsement

      NCSE Initial Application
      NCSE Renewal Application
 

Other Forms

Renewal Extension Request Form*

 

Inactive Status Request Form (5 year limit)**

 

Retired Status Request Form***

 
* Extension: Allows six months to complete renewal process. You may not use the credential, endorsement, or certificate until the renewal process is complete.

** Inactive Status: Allows up to five years to complete renewal process. You may not use the credential, endorsement, or certificate until the renewal process is complete.

***Retired Status: Must receive request in writing for retired status, accompanied by the credential, endorsement, or certificate prior to renewal date to receive a new certificate signifying retired status.  Active status may be requested within two years of retiring credential, endorsement, or certificate.