Addictions Counselling Course Registration

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MM slash DD slash YYYY
Name
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Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
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Course Selection
- PCSA-AC-001 Pharmacology & Addiction Counselling Skills
- PCSA-AC-002 Therapeutic Modalities 1 & Addiction Counselling Skills
- PCSA-AC-003 Behavioral Addiction & Addictions Counselling Skills
- PCSA-AC-004 Ethics, Crisis Response, Intervention & Addiction Counselling Skills
- PCSA-AC-005 Human Development & Addiction Counselling Skills
- PCSA-AC-006 Therapeutic Modalities 2 & Addiction Counselling Skills
- PCSA-AC-007 Case Management, Relational Violence, Relapse Prevention & Addiction Counselling Skills
Payment
Course Fee*
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Registered students will be sent a copy of the course syllabus. Some pre-course reading may be required.
Technology Fee*
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Method of Payment*
Lifestyle Commintment*
- By submitting this form I affirm my compliance with EBC's Lifestyle Commitment.

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