Certified Addictions Counselor Application
About this free form template

Certified Addictions Counselor Application Form

Becoming a Certified Addictions Counselor (CAC) is a significant step in your professional journey within the substance abuse and behavioral health field. This comprehensive application form streamlines the certification process, helping you document your clinical hours, verify supervision requirements, and schedule your state examination—all in one organized submission.

Why Use This Form for Your CAC Application?

The path to certification requires careful documentation of your training, supervised clinical experience, and educational background. This Paperform template replaces scattered paperwork and email chains with a single, professional application that:

  • Captures all required credentials including education, training hours, and clinical supervision details
  • Verifies your supervised experience with built-in fields for supervisor information and attestation
  • Calculates your total clinical hours automatically as you enter direct client contact, group facilitation, and case management time
  • Schedules your state exam by collecting your preferred testing dates and location preferences
  • Accepts application fees securely through integrated Stripe, PayPal, or Square payment processing
  • Creates a professional submission that certification boards can review quickly and efficiently

Who Benefits From This Template?

This form is designed for behavioral health professionals pursuing addictions counseling certification, including:

  • Substance abuse counselors completing their supervised practice hours
  • Social workers and therapists specializing in addiction treatment
  • Psychology graduates entering the addictions counseling field
  • Career changers with relevant life experience and formal training
  • International counselors seeking US state certification

It's also valuable for state certification boards, professional associations, and training programs that need to process applications efficiently while maintaining rigorous standards.

Streamline Your Certification Workflow

For certification boards and professional organizations, managing hundreds of applications with varying documentation can be overwhelming. This template ensures every applicant submits the same essential information in a consistent format, making your review process faster and more accurate.

The conditional logic adapts the form based on education level, training pathway, and supervision model—so applicants only see questions relevant to their specific situation. You'll receive complete applications with all necessary attachments, properly calculated hours, and verified supervisor credentials, reducing back-and-forth communication and processing delays.

Automate Post-Application Steps with Stepper

Once an application is submitted, there's still work to do: reviewing credentials, verifying supervision, scheduling exams, and communicating with applicants about their status. With Stepper (stepper.io), Paperform's AI-native workflow automation tool, you can automate these follow-up tasks without writing a single line of code.

Set up workflows that automatically:

  • Send submissions to your certification review committee via email or project management tools
  • Create applicant records in your database or CRM (like Airtable, Google Sheets, or HubSpot)
  • Notify supervisors to confirm the hours and competencies they've supervised
  • Route applications to different reviewers based on education pathway or specialty area
  • Trigger reminder emails about missing documentation or pending exam registration
  • Update applicants on their certification status as they move through the review process

By connecting Paperform with Stepper, you transform a static application form into an intelligent certification management system that keeps candidates informed and your team organized.

Built for Compliance and Professionalism

Addictions counseling certification requires strict adherence to state regulations, ethical standards, and clinical competency requirements. This form template is structured to align with common CAC certification requirements across multiple states, including:

  • Documentation of substance abuse-specific education and training hours
  • Verification of supervised clinical experience with licensed professionals
  • Confirmation of ethical conduct and professional background checks
  • Proof of CPR/First Aid certification and continuing education
  • Exam scheduling and fee payment processing

While certification requirements vary by state and certifying body, this template provides a solid foundation that can be customized to match your specific jurisdiction's regulations. You maintain full control over the questions, required documentation, and approval workflow while giving applicants a clear, professional experience.

Secure, Compliant, and Trusted

When handling sensitive applicant information—including educational records, supervisor attestations, and background check details—security matters. Paperform is SOC 2 Type II compliant and offers data residency controls, encrypted file uploads, and secure payment processing to protect applicant privacy throughout the certification process.

Whether you're a state certification board processing hundreds of applications annually or a professional association supporting members through the credentialing process, this template gives you a dependable, professional-grade solution that respects the seriousness of addictions counseling certification.

Get Started Today

Stop juggling PDF forms, email attachments, and manual spreadsheets. With this Certified Addictions Counselor Application template, you can launch a professional certification process in minutes, accept applications immediately, and start building an organized pipeline of qualified candidates ready to serve individuals and families affected by substance use disorders.

Paperform's flexible editor makes it easy to adapt this template to your state's specific requirements, add your organization's branding, and integrate with the tools you already use. Start processing CAC applications more efficiently today.

Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Built for growing businesses, trusted by bigger ones.
Trusted by 500K+ business owners and creators, and hundreds of millions of respondents. Small and growing teams across marketing, eCommerce, education, and professional services run their forms on Paperform.

Our customers love us, with an average rating of 4.8 out of 5 from 380 reviews across Capterra, Trustpilot, and G2.