CARES Academy 84 Application

Certified Addiction Recovery Empowerment Specialist

CARES ACADEMY 84

Applications will close on Friday, May 1st at 4pm

Group Interviews will take place on

Tuesday, May 26th, 2026

CARES Academy 84 will take place Monday, June 22nd - Friday, June 26th 2026

***This will be an in-person training***

A. Information regarding the CARES Academy 1. Upon completion of the 40 hour CARES Academy, candidates must pass a written exam.2. Tuition for the CARES training is free. Hotel accommodations in double rooms will be provided for participants who live 60 miles or more from the training site. 3. Lunch and breaks are provided for all participants. GC4R does not provide other meals.4. GC4R does not reimburse CARES Academy attendees for their time during the 40 hour training. 5 CARES Academy attendees must adhere to the personnel rules or guidelines set by their employers.6. In order to retain certification, CARES must earn 12 CARES recovery oriented continuing education units CEUs each calendar year following the year they attend the CARES Academy.

B.GENERAL STATEMENT OF ELIGIBILITY & PRIORITY People in recovery who are interested in becoming a CARES must apply to the Georgia Council for Recovery (GC4R). Following an initial screening by the CARES Academy Selection Committee, qualified candidates are invited to a group interview. Final sections are based on a combination of the submitted application materials, verifications, and group interview ratings. Group Interviews will take place on May 27th, 2025.

CARES 84 Application( * fields are required fill )

C. Personal & Contact Information

Full Legal Name

First NameMiddle NameLast Name

Date of Birth (mm/dd/yyyy)*

Date

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

County*

Primary Email*

example@example.com

Alternate Email

example@example.com

Primary Number*

Format: 000-000-0000.

Alternate Number

Format: 000-000-0000.

YesNo

Have you previously attended the CARES training sponsored by the Georgia Council for Recovery? If so what cohort?*

YesNo

If so, how many times?

YesNo

Date of Recovery (mm/dd/yyyy)*

Date

YesNo

Name of CSB/RCO/ARSC*

YesNo

Have you ever or are you currently taking Medication Assisted Treatment as a tool for Opioid or Alcohol Use Disorder?

If you answered yes to the above question, what medication have you been prescribed?

D. Demographic & Education Information

MF

YesNo

What languages do you speak well? (other than English)

YesNo

Name of High School or GED Program*

College or University

YesNo

College Area of Study

Specialized Training 1- Program Name

YesNo

Area of Study - 1

Specialized Training 2 - Program Name

YesNo

Area of Study - 2

Primary Employer Organization

(P) Start Date (mm/dd/yyyy)

Date

YesNoDon't Know

(P) If so, please select organization from these options

(P) Employer or Volunteer Organization"s Address

(P) Employer or Volunteer Organization"s City

(P) Employer or Volunteer Organization"s State

(P) Employer or Volunteer Organization"s Zip

(P) Job Title

(P) Supervisor Name

YesNoDon't Know

Phone Number

Format: 000-000-0000.

Secondary Employer or Volunteer Organization

(S) Start Date (mm/dd/yyyy)

Date

YesNoDon't Know

(S) If so please select organization from these options

(S) Employer or Volunteer Organization"s Address

(S) Employer or Volunteer Organization"s City

(S) Employer or Volunteer Organization"s State

(S) Employer or Volunteer Organization"s Zip

(S) Job Title

(S) Supervisor Name

YesNoDon't Know

E. Writing Sample Each Applicant must submit a writing sample explaining why he/she should be selected to participate in the CARES training. Please include your value system, leadership skills that you possess, your ability to demonstrate and promote recovery, and any advocacy or work done in the community. You may use the CARES Mission, Vision and Values statements as a reference document. Essays should be at least 250 and no more than 500 words and must be completed by the candidate and submitted with the application.

Type in writing sample below ( mimum 250 to 500 words)*

0/500

F. References: Your references MUST be included within the fields below in order for your application to be considered complete. We can not move your application into the review process until it is complete. Applications must include two (2) written references that attest to your appropriateness for certification through CARES. Please feel free to reference the CARES Mission and Value statements. The letters should also comment on your recovery by verifying the length of recovery and any pertinent peer recovery recovery support activities such as volunteer work, sponsorship, etc. Written References can come from a sponsor, counselor, accountability partner, faith-leader, friend or co-worker. One reference should identify as being a person in long-term recovery. At least one (1) must specifically address your understanding of and belief in recovery and your ability to support others seeking or in recovery. Please ask your references to include information about your demonstrated leadership abilities, your ability to work with diverse groups of people, and your reliability/ accountability.

*In order to be objective and unbiased in our selection, References from family members, relatives or from a spouse will not be accepted and your application will be disqualified.

Which one of your references identifies as being in recovery?*

As a part of our review process, your application will be disqualified if your reference letters are from a family member, relative, or spouse. Your application will also disqualified if 1 of your references does not state that they are a person in long-term recovery in their reference letter. By checking this box I hereby consent to the CARES Team to disqualify my application if my reference letters do not meet this criteria.*

I agree

1st REFERENCE (R1)

(R1) Name*

(R1) Relationship to you*

(R1) Years Known*

(R1) E-mail*

Phone Number*

Format: 000-000-0000.

Please Copy and Paste 1st Reference Letter (minimum 250 words to 500 Words)*

0/500

2nd REFERENCE (R2)

(R2) Name*

(R2) Relationship to you*

(R2) Years Known*

(R2) E-mail*

Phone Number*

Format: 000-000-0000.

Please Copy and Paste 2nd Reference Letter ( minimum 250 - 500 words)*

0/500

Full Name

First NameLast Name

Date

For more information regarding your written submissions, visit the CARES section of GC4R's website: https://gc4recovery.org/cares-academy/

Once your application is complete, please click on the submit button below.

Which one of your references identifies as being in recovery?*