This Form is to be filled by Evaluator
For ACADC, CADC, SUDA
The individual whose name appears above is applying for IBADCC Certification. This designation is reserved for those meeting eligibility criteria and passing a National Written Exam. Candidates who are awarded this designation must demonstrate basic knowledge of working in the area of alcohol and other drug abuse. The information requested of you in this evaluation is an essential component of the evaluation of this candidate for certification. Please consider your observations of this candidate’s work and character as you complete this form.
I hereby attest to the ethical professional practice of this candidate and that my responses to this questionnaire have been given freely and voluntarily, and that they are true and complete to the best of my knowledge.
Those services which respond to an alcohol and/or drug abuser’s needs during acute emotion or physical distress
Please give a general assessment of this candidate’s knowledge and competency of alcohol/drug abuse counseling. Any additional comments on the candidate’s knowledge or competence may be added here.
IBADCC reserves the right to request further information from you concerning this applicant.
Click Submit button to send directly, or email the completed form to firstname.lastname@example.org.