How To Become An Addiction Recovery Coach

Transcription

1 The Anti Drug Alliance South Africa Clear Option Program Addiction Recovery Coach Training Course Application Form Basic Information Name Surname Age Identity Number Cellphone Number Address Physical Address Postal Address Do you have your own transport (tick appropriate) YES NO

2 Experience / Knowledge / Education Have you previously been treated for an addiction? YES NO If YES, please tell us how many times and how long you have been clear since your last treatment. Please tell us what experience you have with addiction if you have not been treated for it, for example, did a close family member suffer, or did you work at a rehab or study addiction? Are you currently employed? YES NO Please give us a brief overview of your education

3 Motivation In this section, please tell us why you would like to learn to become an Addiction Recovery Coach.

4 Fees Fees payable for the course are as follows: Application Fee R200 This is a non refundable fee that must be made with your application. Please note that should your application be successful, this amount will be deducted from your course fees. Course Fees R5000 As of 1 March 2014, course fees will be set at R5000 per person for the Addiction Recovery Coaching course. Payment Instructions All payments are to be made to: Anti Drug Alliance FNB Cheque Account Branch Account PLEASE NOTE, YOU ARE TO ATTACH THE PROOF OF PAYMENT OF YOUR APPLICATION FEE TO THIS DOCUMENT AND IT TO INFO@ANTIDRUGALLIANCE.COM SHOULD WE NOT RECEIVE THE APPLICATION FEE, YOUR APPLICATION WILL BE DISCARDED. Terms and Conditions 1. You must be over the age of 18 to attend the course. 2. You cannot be currently using any illegal or illicit substance. 3. Any person with an active addiction will be immediately refused entry to the course, or in the case that they are on the course, will be asked to leave the course immediately. Any fees paid will be forfeited. 4. The entire course must be attended. Unless otherwise specified, course times are 9am until 4:30pm. No late-coming or early leaving will be tolerated. 5. No attendee will be allowed to miss any course days. Should this happen, you will be required to attend the course again at 75% of current course fees. 6. The Anti Drug Alliance Clear Option Program reserves the right to limit the amount of attendees to any particular course, as well as to limit the amount of Addiction Recovery Coaches in a particular area. 7. Attendees may be required to undergo a drug test. Refusal to be tested, or a positive result for any illicit or illegal drugs will result in the attendee being asked to leave the course immediately (please note that any fees paid will be forfeited in this case). 8. The attendee pays for certain course dates. Should you be unable to attend the course for any reason, please give at least 72 hours notice prior to the beginning of the course, and alternative dates will be arranged. Should you fail to give appropriate notice, course fees will be forfeited. 9. On completion of the course, appropriate assignments and exam, the attendee will receive a certificate. A pass rate of 75% is required.

5 10. Should you need or wish to rewrite the final examination, a fee of R950 will be charged for each rewrite. 11. The attendee agrees that they cannot and will not practice as an Addiction Recovery Coach outside of the Anti Drug Alliance or Clear Option Program. Doing this would constitute breach of contract and legal action will be taken immediately. 12. Qualified ARCs will be required to sign a contract. 13. Due to organisation rules and regulations, no refunds will be given under any circumstances. 14. Payment must be received in full no later than 7 working days prior to beginning of the course, unless otherwise agreed upon with management. No attendee will be allowed to attend the course without full payment being received. 15. By signing this document, you agree to the contents thereof, and agree to any further terms and conditions that the Anti Drug Alliance may have. 16. You agree that any information furnished in this document is true and correct at the time of signing the document. Hereby signed on this day of, 2015 at Signature of applicant