Fillable Colorado Education Equivalency Review (Center for Credentialing & Education)

Fill Online, Printable, Fillable, Blank Colorado Education Equivalency Review (Center for Credentialing & Education) Form

Use Fill to complete blank online CENTER FOR CREDENTIALING & EDUCATION pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Colorado Education Equivalency Review (Center for Credentialing & Education)

On average this form takes 28 minutes to complete

The Colorado Education Equivalency Review (Center for Credentialing & Education) form is 17 pages long and contains:

  • 0 signatures
  • 5 check-boxes
  • 111 other fields

Country of origin: US
File type: PDF

Use our library of forms to quickly fill and sign your Center for Credentialing & Education forms online.

BROWSE CENTER FOR CREDENTIALING & EDUCATION FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
1
Colorado Education Equivalency Review
For Addiction Counselor
2021 Application
This application form is interactive.
Download the form to your computer to fill it out.
3 TERRACE WAY
GREENSBORO, NORTH CAROLINA 27403-3660 USA
TEL: 336-482-2856 * FAX: 336-482-2852
www.cce-global.org * cce@cce-global.org
The Center for Credentialing & Education, Inc. (CCE
) values diversity.
There are no barriers to certification on the basis of gender, race, creed, age, sexual orientation or national origin.
CCE and NBCC are registered trade and service marks of the National Board for Certified Counselors, Inc.
Colorado Addiction Counselor Education Equivalency Review: revised 05/2021
The Center for Credentialing & Education, Inc. (CCE), on behalf of the state of Colorado, performs the
education equivalency review for licensed addiction counselor candidates. Any correspondence outside of the
education equivalency review should be directed to the state of Colorado at 303-894-7800.
CCE’s review is based on Colorado Rule 14 [Licensure by Examination (CRS 12-43-804)]. Colorado State
Board of Addiction Counselor Examiners Rules are available online at
https://www.colorado.gov/pacific/dora/Addiction_Counselor.
Applications will be held open for one year from the date of initial review. Please note that CCE cannot return or
duplicate an application. Prior to submitting your application to CCE, please make a copy of it for your records.
HOW TO CONTACT CCE
Telephone (toll-free): 888-817-8283
Telephone Hours: 8:30 a.m. to 5 p.m. Eastern time; 6:30 a.m. to 3 p.m. Mountain time (Monday–Friday)
E-mail: cce@cce-global.org
Fax: 336-482-2852
Send written correspondence to: CCE • 3 Terrace Way • Greensboro, NC 27403-3660
Reviews are conducted in order of receipt and completed within six weeks. Failure to include all required
items listed on page 3 will result in the need for additional reviews. Each subsequent review takes six weeks
from the date of document receipt.
In order to protect candidates from miscommunication or misinformation, CCE asks applicants to submit in
writing any questions regarding their education review. Questions can be sent via e-mail, postal mail or fax.
CCE responds to all questions in the order they are received.
As an applicant for licensure education review, you have the right to appeal the findings on the education
review completed by CCE. Please be aware that all applications for education equivalency review in Colorado
are reviewed by CCE, which is the contracted agent for the Colorado State Board of Addiction Counselor
Examiners, and the credential review is based on the Colorado Code of Law, Section 12-43-804 and Rule 14:
Colorado Board of Addiction Counselor Examiners Rules. These requirements must be met in full.
COLORADO
 

 
Education Equivalency for Addiction Counselor Certification
  
     

       
   
   

 
   
 


   



College equivalency hours:
 = 
= 
 = 
= 
= 

CAC required courses that must be taken (No college course
equivalency):
  
  
 
     
  
    
  

 
COLORADO
 


   

  

(Click on Certified Addiction Counselor Clinical Training Program, click on Core Competencies for CAC
Required Training Classes)
  


  
 
  

 
 

 
 
 
  
  
   

  
Training Requirements Summary for CAT
(HS diploma/GED)
Clinically Supervised Work
Experience Hours: 1000
(does not require DORA
registration prior to the 1000
hours. Once these hours are
met, the individual is not able
to perform duties until the
CAT is officially approved)
Pass the NCAC I Exam
Pass the Jurisprudence
Exam
Nine (9) addiction specialty courses
Addiction Counseling Skills (21 hrs)
Case Conceptualization and Documentation (14
hrs) (aka Client Record Management)
Principles of Addiction Treatment (21 hrs)
Ethical Practice in Addiction Treatment (14 hrs)
(aka Professional Ethics I: Ethics and
Jurisprudence)
Culturally Informed Treatment (14 hrs)
Pharmacology I (14 hrs)
Trauma-Informed Care for Diverse Populations
(14 hrs)
Motivational Interviewing (21 hrs)
Prerequisite: Addiction Counseling Skills
Group Counseling Skills (21 hrs)
Prerequisite: Addiction Counseling Skills
Training Requirements Summary for CAS (must meet requirements for CAT)
Behavioral Health
Bachelor Degree
Non-conforming
Bachelor’s degree
approval will be
decided at the
discretion of the
Addiction Board
Bachelor’s degree:
Behavioral Health specialty
(Psychology,
Social Work, Human
Services)
Bachelor's degree or higher in Substance Use
Disorders/Addiction and/or related counseling
subjects (social work, mental health counseling,
marriage & family, psychology) from a regionally
accredited institution of higher learning.
Approved to provide Clinical
Supervision and consultation
to individuals working
towards CAT or CAS
Clinically Supervised Work
Experience Hours
● 2,000 direct clinically
supervised hours
(1000 additional
direct clinical hours
beyond the CAT)
Pass the NCAC II exam
Pass the jurisprudence exam
Eleven (11) specialty courses
Cognitive Behavioral Therapy (14 hrs)
Co-occurring Disorders (14 hrs)
Advanced Treatment Models (14 hrs)
(aka Advanced Models)
Treating Diverse Populations (14 hrs)
(aka Specialized Addiction Treatment)
Infectious Diseases in Addiction Treatment (14hrs)
Clinical Supervision I (21 hrs)
Clinical Supervision II (14 hrs)
Prerequisites: Advanced Motivational
Interviewing and Clinical Supervision I
Advanced Professional and Ethical Practice
(14hrs)
(aka Professional Ethics II, Professional Practice)
Prerequisite: Ethical Practice in Addiction
Treatment
Advanced Motivational Interviewing (14 hrs)
Prerequisite: Motivational Interviewing
Advanced Case Conceptualization (14 hrs)
(aka Clinical Assessment and Treatment Planning)
Prerequisite: Case Conceptualization and
Documentation (aka Client Record Management)
Advanced Pharmacology (14 hrs)
(aka Pharmacology II)
Prerequisite: Pharmacology I
Training Requirements for LAC (must meet requirements for CAT, CAS)
Clinical behavioral health
Master or Doctorate
degree
Master's degree or higher in Substance Use
Disorders/Addiction and/or related counseling
subjects (social work, mental health counseling,
marriage & family, psychology, medical doctor)
from a regionally accredited institution of higher
learning.
Meet all the requirements
of CAT and CAS (Must
either take or show
educational equivalency
for the following courses:
-Addiction Counseling Skills
-Case Conceptualization
and Documentation (aka
Client Record Management)
-Culturally-Informed
Treatment
-Motivational Interviewing
- Advanced Motivational
Interviewing
-Trauma Informed Care for
Diverse Populations
Ethical Practice in
Addiction Treatment (14
hrs) (aka Professional Ethics
I: Ethics and Jurisprudence)
-Group Counseling Skills
-Co-occurring Disorders
-Cognitive Behavioral
Therapy
- Advanced Case
Conceptualization (aka
Clinical Assessment and
Treatment Planning)
- Advanced Treatment
Models (aka Advanced
Models)
-Treating Diverse
Populations (aka
Specialized Addiction
Treatment)
Training Requirements
(Must meet training requirements for the CAS,
below is the list of training requirements WITHOUT
educational equivalency)
Principles of Addiction Treatment (21 hrs)
Infectious Diseases in Addiction Treatment
(14 hrs)
Pharmacology I (14 hrs)
Advanced Pharmacology (14 hrs)
(aka Pharmacology II)
Prerequisite: Pharmacology I
Advanced Professional and Ethical Practice
(14hrs)
(aka Professional Ethics II, Professional Practice)
Prerequisite: Ethical Practice in Addiction
Treatment
Clinical Supervision I (21 hrs)
Clinical Supervision II (14 hrs)
Prerequisites: Advanced Motivational
Interviewing and Clinical Supervision I
FORM A
FORM A–COMPLETED CAT TRAINING/ EDUCATION
(If you hold a Clinical Master’s or Doctorate degree, do not use this form. Use FORM B)
APPLICANT: It is your responsibility to ensure that you have completed the required coursework below
or have educational equivalency for your level. Refer to the CAC Handbook for Addiction Counselors,
available at www.cce-global.org/BusinessLicensureServices/StateLicensure.
>Complete this form to document all courses for the level for which you are applying.
>If you already hold a certification for previous level(s), you do not need to document those courses.
>Submit a copy of your certificate(s) for all courses you document on this form.
Applicant Last Name:
First Name:
Middle Initial:
Suffix:
Address:
City:
State:
Zip:
Training/Courses
Training Date(s)
Trainer Name (Print)
CAT-High School Diploma
Addiction Counseling Skills
Case Conceptualization & Documentation
Ethical Practice in Addiction Treatment
Trauma Informed Care for Diverse Populations
Culturally Informed Treatment
Motivational Interviewing
Pharmacology I
Group Counseling Skills
Principles of Addiction Treatment
CAS-Bachelor’s Degree**
Cognitive Behavioral Therapy
Advance Pharmacology
Advance Case Conceptualization
Co-occurring Disorders
Infectious Diseases in Addiction Treatment
Advance Treatment Models
Advanced Motivational Interviewing
Clinical Supervision I
Clinical Supervision II
Professional Practice
Treating Diverse Populations
**For CAS, document completion of all CAS courses. If you do not already hold CAS certification, you must also document the CAT courses.
FORM B
FORM B–COMPLETED LAC TRAINING/ EDUCATION
(If you hold a Clinical Master’s or Doctorate degree, do not use this form. Use FORM B)
APPLICANT: It is your responsibility to ensure that you have completed the required coursework below
or have educational equivalency for your level. Refer to the CAC Handbook for Addiction Counselors,
available at www.cce-global.org/BusinessLicensureServices/StateLicensure.
>Complete this form to document all courses for the level for which you are applying.
>Submit a copy of your certificate(s) for all courses you document on this form.
Applicant Last Name:
First Name:
Middle Initial:
Suffix:
Address:
City:
State:
Zip:
Training/Courses
Training Date(s)
Trainer Name (Print)
LAC-Master’s Degree
Addiction Counseling Skills
Case Conceptualization & Documentation
Culturally Informed Treatment
Trauma Informed Care for Diverse Populations
Co-occurring Disorders
Cognitive Behavioral Therapy
Advance Case Conceptualization
Advance Treatment Models
Treating Diverse Populations
Principles of Addiction Treatment
Infectious Diseases in Addiction Treatment
Pharmacology I
Advance Pharmacology
Motivational Interviewing
Group Counseling Skills
Professional Ethics II
Advanced Motivational Interviewing
Clinical Supervision I
Clinical Supervision II
Professional Practice
Colorado Addiction Counselor Education Equivalency Review: revised 05/2021
Colorado Education Equivalency
Payment Voucher
PLEASE NOTE
• All fees must be paid in U.S. dollars.
• All fees are nonrefundable and nontransferable.
• Review results will be sent six weeks after application receipt.
• You will be notified in writing of your status and informed if further information is needed.
• Please make check or money order payable to CCE.
METHOD OF PAYMENT
Applicant’s Name:
Telephone: DAY:
EVENING:
□
Enclosed is a check or money order payable to CCE in the amount of $100.
□
Please charge the credit card listed below in the amount of $100.
Card Type: VISA MasterCard
American Express
Name on Card:
Account
Number:
Expiration
Date:
Card Security Code (from back of card):
Cardholder Signature: Date (mm/dd/yyyy):
SUBMIT YOUR APPLICATION AND PAYMENT
•
Mail: CCE; P.O. Box 63223; Charlotte, NC 28263-3223
• Fax: 336-482-2852
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Colorado Education Equivalency Review (Center for Credentialing & Education)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 23 July 2021

Message

View Audit Log
Print With Audit Log
Duplicate Document