MICHIGAN CERTIFICATION BOARD FOR ADDICTION PROFESSIONALS
IC&RC INTERNATIONAL CERTIFICATION CBT EXAMINATION REGISTRATION FORM
Upon completion of this form in its entirety, please print the form and fax to
(517) 347-1288 for processing; as this form is not submitted electronically.
Once the form has been printed; if you chose to pay using the PayPal option,
please click on "Pay Now" to be directed to the PayPal site for submission of
payment. Please know PayPal is a payment option, you may also pay using
personal check or money order and submitting the form via U.S. Mail.
Click for Application Form