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

 

 

 

Created 05/2012