ADAC - Registration

REGISTRATION

Please complete this registration form and click the submit button. After completing, please print and mail us a copy with payment or voucher. Please make your check payable to ADAC and mail to P.O. Box 583, Goshen, NY 10924. We do accept Visa and MasterCard. If you wish to pay by credit card, please call or fax your registration form with credit card information to us:

Phone: 845-294-9000 Fax: 845-294-9648
Registration will be confirmed after payment is received.
No refunds issued without 48 hours cancellation notice from the student.

Please Note: Fields in red are required.

Name:

Address:

City:

State:

Zip:

Phone (Daytime):

Phone (Evening):

Phone (Cell):

E-mail:

All classes will be held at
ADAC, 224A Main Street, Goshen

Click to
Enroll

COURSE TITLE

DAYS, TIMES DATES

HOURS

COST

Module I

Knowledge of Alcohol/Substance Abuse

Topics Covered:

1. Overview of.Alcoholism/Addictions

2. Overview of Substance Abuse

3. Overview of Alcoholism/Addictions (cont'd)

4. Addictions Professional,

12 Step, ....

Saturdays
9/6, 20; 10/4; 12/6, 13
8:30 am - 3:30 pm
Tuesdays & Thursdays
9/9 - 12/11
6:30 pm - 10:00 pm
85
$550

+$85

Book Charge

$635

Module II

Assessment/Clinical Evaluations

Topics Covered:

1. Counselor Skills II

2. Case Management

Tuesdays & Thursdays

10/23 - 12/18

6:30 pm - 10:00 pm

Saturdays

10/25; 11/8, 22
60 $450

Topics can be taken individually. Call the office for pricing informantion.

All classes approved by OASAS

Home Programs and Services Local AA Meetings
Substance Abuse Links Facts and Figures Contact Us

, Alcohol & Drug Abuse Council of Orange County.