ARCC Non-credit Application

WESTFIELD STATE UNIVERSITY

Office of Lifelong Education

ADDICTION RECOVERY COACH CERTIFICATE PROGRAM

Admissions Process

An applicant's qualifications will be reviewed by the Director of the Addiction Recovery Coach Certificate (ARCC) Program. Admission to the ARCC program is determined without regard to race, color, sex, orientation, religion, or national origin.

General Instructions

1. Complete the application below and submit.

2. Attach a narrative statement where indicated below or email separately to Brandon Fredette at bfredette@westfield.ma.edu

     a. Typewritten preferred, but not required
     b. No more than two pages, double-spaced
     c. Include the following information:
          - A little about your personal background
          - What motivated you to apply to the program
          - What you hope to do after you finish the program

3. Sign and submit the required Attendance Policy form (can be via email)

4. Request an official transcript from your highest level of education: College, High School, or GED.

Official transcripts and any other supporting documents can be emailed to bfredette@westfield.ma.edu or mailed to:

Westfield State University
577 Western Avenue
Westfield, MA 01086
Attn: ARCC / Brandon Fredette

Acceptance

After all application materials are received, the Program Director will review and contact you. Admission decisions are made on an individual basis. Accepted applicants will be notified as soon as a decision has been made.


Applicant Information
First Name	*
Last Name	*
Other Name(s) under which records may be found
Address	*
City	*
State / Province	*
Zip / Postal	*
Email Address	*
Phone Number	*
Date of Birth	*

The information below is optional and used for statistical purposes only. It will be held in the strictest confidence.
Gender
Race/Ethnicity
Experience with addiction recovery?
If yes, length of commitment:
Please indicate if accommodations are needed:


Educational Background (List most recent first)
Highest Level of Education	*

Name of College/High School #1:	*
Location (City/State):	*
Dates Attended:	*
Degree, diploma, or certificate awarded:	*

Name of College/High School #2:
Location (City/State):
Dates Attended:
Degree, diploma, or certificate awarded:

If applicable, please list additional schools attended including information requested above:

Work/Volunteer Background
Do you have any work experience in the addiction services field? If so, please explain:	*
Do you have any volunteer experience in the addiction services field? If so, please explain.	*
Current employer (optional):
Current position at place of employment (optional):


Documents to Upload

Narrative Statement (Can also be emailed separately - see General Instructions above)
Resume (not required)


All application materials are the property of the College of Graduate and Continuing Education and cannot be returned to you or submitted to other parties for any other use.

*I certify by clicking submit that I have read and understand the general admission information on this application and that the information in this application is true and complete to the best of my knowledge.