Sabbatical - Stripe

Inactive Sabbatical Application / Renewal Form

Fee - $25
A current MHACBO certified counselor may acquire Inactive-Sabbatical Status on their certification. The purpose of Inactive-Sabbatical Status is to allow counselors who have changed their field of employment, or are unemployed, attending school, disabled, etc., an opportunity to have their certification status placed "on hold." The MHACBO Inactive-Sabbatical Status is based upon NAADAC’s inactive status. Additionally, certified counselors that are also NCAC’s may acquire inactive status through NAADAC.

The cost for initial sabbatical status or renewal is $25
Full Name*

First NameLast Name
Are you requesting sabbatical or renewing?*

I am requesting initial sabbatical statusI am renewing my sabbatical status
How many years have you been on sabbatical now?*
E-mail*

Confirmation Email
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Home Phone Number*

Area CodePhone Number
Work Phone Number*

Area CodePhone Number
Certificate Number*
Your certificate number can be found at www.accbo.com/registry
Reason for requesting Sabbatical*

Sabbatical Initial/Renewal Fee$25.00

Total $0.00

Inactive Sabbatical Application / Renewal Form