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The Renewal Csac form is an essential document for certified substance abuse counselors seeking to renew their credentials. It requires completion of a two-page application, documentation of 40 hours of continuing education (with 6 hours in counselor ethics), and submission of a $25.00 renewal fee. This process ensures counselors are up-to-date with their education and compliant with ethical standards, maintaining the integrity of the profession.

If you're ready to renew your certification and continue making a positive impact in the field of substance abuse counseling, click the button below to fill out your Renewal Csac form.

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Overview

The renewal process for Certified Substance Abuse Counselors (CSAC) is a critical procedure designed to ensure that counselors maintain the highest professional and ethical standards in their practice. This process involves a comprehensive application that requires the submission of a two-page form, along with documentation of 40 hours of continuing education—of which, six hours must be in counselor ethics—to demonstrate ongoing learning and adherence to current best practices in substance abuse counseling. Additionally, applicants are required to submit a $25.00 renewal fee as a money order or certified check, payable to the "STATE DIRECTOR OF FINANCE." Each application must be sent to the Alcohol and Drug Abuse Division in Kapolei, Hawaii, for processing and evaluation. Applicants must provide a range of personal and professional information, including any updates on their certification status in other states and any instances of unethical, unprofessional, or illegal conduct during their certification period. This renewal application is not just a bureaucratic formality; it signifies a commitment to ethical practice, competency, and the continual improvement of skills essential for effectively addressing substance abuse issues within the community. Moreover, it embodies an adherence to a Code of Ethics, ensuring that every certified counselor works non-discriminatorily, responsibly, competently, and with the highest moral and legal standards, putting client welfare at the forefront of their service.

Example - Renewal Csac Form

APPLICATION FOR RENEWAL

CERTIFIED SUBSTANCE ABUSE COUNSELOR

INSTRUCTIONS:

1.Complete the two-page application.

2.Attach copies of certificates of completion and/or request an official transcript be sent to ADAD documenting 40 hours of ADAD-approved continuing education, including 6 hours in counselor ethics.

3.Include the $25.00 renewal fee in the form of a money order or certified check payable to

"STATE DIRECTOR OF FINANCE."

4.Send to:

Alcohol and Drug Abuse Division

Attn: Certification

Kakuhihewa Building

601 Kamokila Boulevard, Room 360

Kapolei, Hawaii 96707

1.Name:

(Please Print)

2.Home Address:

Street/P.O. Box

City/State/Zip

3.Home Phone:

Area Code/Number

4.E-mail Address:

FOR OFFICE USE ONLY

 

 

Fee Amount:

__________

 

 

Date Received:

__________

 

 

Transcripts/Certificate for CEUs Received:

__________________________

Re-Certification Approved:

Effective:

__________________________

 

 

Expires:

__________________________

New Certificate Number:

____________

 

Renewal Application for CSAC

 

Revised 04/22/10

 

1

5.Current Employer:

Organization or Business Name

Address:

Street/City/State/Zip

Business Phone:

Area Code/Number

6.Your Job Title:

7.Have you been certified as a substance abuse counselor in any other state since receiving your last certification?

Yes No

(If Yes, what State?

 

)

8.Have you, during your current period of certification, been subject of a finding of unethical, unprofessional, or illegal conduct made as part of a final decision by a regulatory body (e.g. certification or licensing board) or by a court (civil or criminal)?

Yes No

(If yes, attach an explanation and copies of official documents.)

9.The name you wish to appear on your certificate:

* It is your responsibility to promptly report all name and address changes to the Alcohol and Drug Abuse Division. Records may be destroyed after TWO (2) years from the date of certification expiration or revocation.

Review and sign the following statement:

“I certify that all the information contained in this application and all attachments are accurate to the best of my knowledge.” I have received a copy of, read, and agree to abide by the “Code of Ethics for Substance Abuse Counselors and Program Administrators” as found in HAR 11- 177.1, Subchapter, 11-177.1-33. The falsification of any information may result in the revocation of this application.

________________________________________

__________________

Signature (INK ONLY)

Date

(Return the above application, documentation of 40 hours of continuing education, including 6 hours in ethics, and your $25.00 money order or certified check payable to “State Director of Finance”)

Renewal Application for CSAC

Revised 04/22/10

2

DOCUMENTING CONTINUING EDUCATION

You must document 40 hours of continuing education, to include 6 hours in counselor ethics.

Continuing education may be verified by:

1.Transcripts

a.Official transcripts documenting courses in the human services fields must be sent directly from the college to the Alcohol and Drug Abuse Division. This can be done by contacting the college admission or registrar office. You must give them ADAD’s address:

Alcohol and Drug Abuse Division

Attn: Certification

601 Kamokila Boulevard, Room 360

Kapolei, Hawaii 96707

b.One semester credit equals 15 hours of continuing education; one trimester credit equals 10 hours of continuing education; one quarter credit equals 7.5 hours of continuing education.

c.Applicants for renewal must earn a grade of “C” or better in any course.

2.Certificates: Copies of certificates of completion for ADAD-approved training, including distance education, may be used to complete the requirement for renewal. Distance education is limited to a maximum of 20 hours. If you are not certain that a training is ADAD-approved, please contact the Certification Office at (808) 692-7518.

3.Teaching: Send a copy of the appointment letter for college courses or the training agenda for workshops conducted. Credit for teaching college courses will be computed per 1.b. above. Credit for workshops will be the actual hours of training.

Renewal Application for CSAC

Revised 04/22/10

3

CODE OF ETHICS

CERTIFIED SUBSTANCE ABUSE COUNSELOR

CERTIFIED SUBSTANCE ABUSE PROGRAM ADMINISTRATOR

Principle 1: Non-Discrimination. The substance abuse counselor shall not discriminate against clients or professionals based on race, religion, age, gender, disability, national ancestry, sexual orientation or economic condition.

Principle 2: Responsibility. The substance abuse counselor shall espouse objectivity and integrity,

and maintain the highest standards in the services the counselor offers.

Principle 3: Competence. The substance abuse counselor shall recognize that the profession is founded on national standards of competency which promote the best interests of society, of the client, of the counselor and of the profession as a whole. The substance abuse counselor shall recognize the need for ongoing education as a component of professional competency.

Principle 4: Legal and Moral Standards. The substance abuse counselor shall uphold the legal and accepted moral codes which pertain to professional conduct.

Principle 5: Public Statements. The substance abuse counselor shall honestly respect the limits of present knowledge in public statements concerning alcoholism and drug abuse.

Principle 6: Publication Credit. The substance abuse counselor shall assign credit to all who have contributed to the published material and for the work upon which the publication is based.

Principle 7: Client Welfare. The substance abuse counselor shall promote the protection of the public health, safety and welfare, and the best interest of the client as a primary guide in determining the conduct of all substance abuse counselors.

Principle 8: Confidentiality. The substance abuse counselor working in the best interest of the client shall embrace, as a primary obligation, the duty of protecting client's rights under confidentiality and shall not disclose confidential information acquired in teaching, practice or investigation without appropriately executed consent.

Principle 9: Client Relationships. The substance abuse counselor shall safeguard the integrity of the counseling relationship and ensure that the client has reasonable access to effective treatment. The substance abuse counselor shall provide the client and the client’s guardian, where applicable, with accurate and complete information regarding the extent of the potential professional relationship.

Principle 10: Interprofessional Relationships. The substance abuse counselor shall treat colleagues

and other professionals with respect, courtesy, fairness, and good faith.

Principle 11: Remuneration. The substance abuse counselor shall establish financial arrangements in professional practice in accord with professional standards that safeguard the best interests of the client first, and then of the counselor, the agency, and the profession.

Principle 12: Societal Obligations. The substance abuse counselor shall to the best of his or her ability actively engage the legislative processes, educational institutions, and the general public to make possible opportunities and services for all human beings of any ethnic or social background whose lives are impaired by alcoholism and drug abuse.

**Adapted from the National Association of Alcoholism and Drug Abuse Counselors “Ethical Standards of Alcoholism and Drug Abuse Counselors.” Printed in HAR 11-177.1, Subchapter 3, 11-177.1-33

PLEASE READ THIS CODE OF ETHICS, AND KEEP IT IN YOUR POSSESSION FOR REFERENCE.

Renewal Application for CSAC

Revised 04/22/10

4

Document Information

Fact Detail
Application Submission Applicants must complete a two-page application, attach necessary documentation, include a $25.00 renewal fee payable to "STATE DIRECTOR OF FINANCE," and send it to the Alcohol and Drug Abuse Division in Kapolei, Hawaii.
Continuing Education Requirements Renewal requires documenting 40 hours of ADAD-approved continuing education, including 6 hours in counselor ethics. This can be documented through official transcripts or certificates of completion.
Governing Law The renewal process is governed by Hawaii Administrative Rules (HAR) 11-177.1, specifically under Subchapter 3, 11-177.1-33, which includes the "Code of Ethics for Substance Abuse Counselors and Program Administrators."
Renewal Fee The application must be accompanied by a $25.00 money order or certified check payable to the "State Director of Finance."

Guide to Writing Renewal Csac

When it comes time to renew your certification as a Certified Substance Abuse Counselor, properly completing the renewal application is crucial. This form is your ticket to maintaining your credentials and ensuring you can continue providing vital services in your field. Here are the key steps to complete your renewal application accurately and efficiently:

  1. Begin by completing both pages of the application. Make sure all sections are filled out with the required information.
  2. Gather and attach copies of your certificates of completion for the continuing education units (CEUs) you've earned. You need to document at least 40 hours of ADAD-approved continuing education, including a minimum of six hours focused on counselor ethics.
  3. If you have completed formal coursework relevant to your certification, request that an official transcript be sent directly from your educational institution to the ADAD at the address provided. This serves as an alternative to providing certificates of completion.
  4. Prepare the renewal fee of $25.00. This should be in the form of a money order or certified check made payable to the "STATE DIRECTOR OF FINANCE." Ensure this is included with your application package.
  5. Double-check your application package to ensure it includes:
    • The completed application form.
    • Copies of certificates or the official transcript as proof of continuing education.
    • The $25.00 renewal fee.
  6. Send the entire package to the following address: Alcohol and Drug Abuse Division, Attn: Certification, Kakuhihewa Building, 601 Kamokila Boulevard, Room 360, Kapolei, Hawaii 96707.
  7. Review and sign the statement at the end of the application, certifying that all information provided is accurate to the best of your knowledge. Remember, the signature must be in ink.
  8. Before sending off your application, make a copy for your records. This ensures you have a backup of all submitted documents.

Once your application is submitted, the reviewing authority will assess it for approval. They will verify the continuing education units provided, ensure the application is complete, and that the renewal fee is enclosed. Successful renewal will lead to the issuance of a new certification, with an updated expiration date to keep you compliant with industry standards. Remember, maintaining open communication with the Alcohol and Drug Abuse Division is essential, especially if there are any changes in your contact information or if you have any concerns during the renewal process.

Frequently Asked Questions

  1. What are the requirements for renewing my Certified Substance Abuse Counselor (CSAC) certification?

    To renew your CSAC certification, you need to complete a two-page application form, attach copies of certificates or request an official transcript documenting 40 hours of ADAD-approved continuing education (which must include 6 hours in counselor ethics), and include a $25.00 renewal fee via money order or certified check payable to "STATE DIRECTOR OF FINANCE." All materials should be sent to the specified address for the Alcohol and Drug Abuse Division.

  2. How do I document the required 40 hours of continuing education for my CSAC renewal?

    • Transcripts: Official transcripts must be sent directly from the college to the Alcohol and Drug Abuse Division, documenting courses in the human services fields. One semester credit equals 15 hours of continuing education, one trimester credit equals 10 hours, and one quarter credit equals 7.5 hours. A minimum grade of "C" is required for course acceptance.
    • Certificates: You may submit copies of completion certificates for ADAD-approved training, including distance education courses, limited to a maximum of 20 hours.
    • Teaching: If you taught college courses or conducted workshops relevant to the field, you can submit a copy of the appointment letter or the training agenda as documentation.
  3. What form of payment is accepted for the CSAC renewal fee, and who should it be payable to?

    The renewal fee of $25.00 must be submitted in the form of a money order or certified check. It should be made payable to "STATE DIRECTOR OF FINANCE."

  4. What happens if there is a finding of unethical, unprofessional, or illegal conduct against me during my current period of certification?

    If there has been a finding of unethical, unprofessional, or illegal conduct against you by a regulatory body or court during your current certification period, you are required to attach an explanation and copies of official documents related to the finding with your renewal application.

  5. When and how should I report changes in my name or address?

    It is your responsibility to promptly report all changes in name and address to the Alcohol and Drug Abuse Division. This ensures that your records are up to date, allowing for timely communication and the avoidance of any misunderstandings or delays in the renewal process.

Common mistakes

Filling out renewal forms requires attention to detail and a full understanding of the required steps and documentation. Below are some common mistakes people make when they fill out the Renewal CSAC (Certified Substance Abuse Counselor) form, which can delay or negatively impact the renewal process.

  1. Incomplete Application: Not fully completing the two-page application can result in processing delays. Every field must be filled out with the relevant and correct information.
  2. Incorrect Fee Payment: The renewal requires a $25.00 fee, which should be in the form of a money order or certified check payable to "STATE DIRECTOR OF FINANCE." Sometimes applicants forget or opt to use non-acceptable forms of payment.
  3. Failure to Attach Continuing Education Documents: Applicants must attach copies of certificates of completion for 40 hours of ADAD-approved continuing education, including 6 hours in counselor ethics. Skipping or forgetting to attach these documents can lead to application rejection.
  4. Not Sending an Official Transcript When Necessary: If courses from a college are being used to fulfill continuing education requirements, an official transcript must be sent directly from the college to the ADAD. Unfortunately, some applicants only attach unofficial copies with their application or forget this step entirely.
  5. Signature Discrepancies: The application must be signed in ink only. Electronic signatures or copies of signatures can cause the application to be considered invalid.
  6. Omitted Details About Past Certification or Conduct: Applicants must accurately report if they have been certified as a substance abuse counselor in another state and if they have been subject to findings of unethical, unprofessional, or illegal conduct. Failing to attach an explanation and copies of official documents for any "Yes" answers can be a critical oversight.

Making these mistakes can prolong the renewal process or result in the need to resubmit the application, leading to unnecessary delays. By ensuring that all sections of the form are accurately completed, attaching all required documentation, and submitting the correct fee payment, applicants can avoid these common pitfalls.

Documents used along the form

Submitting an application for the renewal of a Certified Substance Abuse Counselor (CSAC) certification involves more than just filling out the renewal form. It requires a collection of various forms and documents that substantiate the educational and ethical standards upheld by the applicant. Each of these documents plays a vital role in ensuring the continued competence and integrity of substance abuse counselors.

  • Official Transcripts: These are formal documents from educational institutions that outline the courses completed by the applicant. They serve as proof of ongoing education and specialization in substance abuse counseling and related fields.
  • Certificates of Completion: These certificates are awarded after the successful completion of ADAD-approved training or continuing education units (CEUs). They indicate that the applicant has fulfilled the requirement of 40 hours of continuing education, including the mandatory 6 hours in counselor ethics.
  • Teaching Credentials: For applicants who have contributed to the field by teaching, documentation such as appointment letters or training agendas are necessary. These documents credit the applicant for their contribution to educating others in the field of substance abuse counseling.
  • Proof of Payment: A receipt or proof of the $25.00 renewal fee payment is essential. It must be in the form of a money order or certified check payable to the "STATE DIRECTOR OF FINANCE," as specified in the renewal application instructions.
  • Code of Ethics Agreement: Being an ethical practitioner is paramount in substance abuse counseling. Applicants are required to affirm their adherence to the "Code of Ethics for Substance Abuse Counselors and Program Administrators" by including a signed statement or agreement with their renewal application.
  • Professional Liability Insurance: While not always mandatory, proof of professional liability insurance is often submitted alongside renewal applications. This document ensures that the counselor is covered against potential liabilities arising from their professional practice.
  • Background Check Authorization: Renewing certification may require a current background check to ensure that the counselors have not been involved in activities that would disqualify them from practice. An authorization form allowing the Alcohol and Drug Abuse Division to conduct this check is often necessary.
  • Explanation of Conduct: If the applicant has been subject to findings of unethical, unprofessional, or illegal conduct, a detailed explanation and copies of official documents relating to the incidence must be attached. This transparency helps uphold the integrity of the profession.

To successfully renew a CSAC certification, each document and form must be accurately completed, gathered, and submitted following the specified guidelines. This careful process ensures that certified substance abuse counselors continue to meet the high standards required to provide support and guidance to individuals affected by substance use disorders. It underscores the counselor's commitment to professional growth, ethical practice, and the well-being of their clients.

Similar forms

The Renewal CSAC form is similar to the Application for Professional Licensing forms used in various professional fields, such as law, medicine, and engineering. These forms typically require applicants to provide personal information, educational backgrounds, and proof of continuing education. Similar to the Renewal CSAC form, professional licensing applications often ask for documentation of continuing education to ensure that the professionals remain knowledgeable about advancements and ethical standards in their fields. Additionally, these applications usually include a section where the applicant must declare any past disciplinary actions or legal issues, paralleling the Renewal CSAC form’s requirement for reporting findings of unethical, unprofessional, or illegal conduct.

Another document that shares similarities with the Renewal CSAC form is the Annual Membership Renewal form used by various professional associations and societies. These forms, like the CSAC renewal, generally require members to update their contact information, report continuing education credits, and pay a renewal fee. The emphasis on ethics training, as seen with the 6-hour ethics requirement on the Renewal CSAC form, is also a common feature in many professional societies' renewal processes, reflecting a shared standard across professions for maintaining ethical conduct. Additionally, both types of forms often ask the applicant to affirm that the information provided is accurate and to agree to abide by the organization's code of ethics, reinforcing the importance of integrity within the profession.

Dos and Don'ts

Successfully renewing your Certified Substance Abuse Counselor (CSAC) credentials is crucial for continuing your professional journey with integrity and compliance. Paying careful attention to the details of the renewal process ensures that your application is properly presented, reflecting your dedication to the field. The following guidelines are designed to assist you in completing your renewal application accurately and effectively.

What You Should Do
  1. Complete the Application Thoroughly: Ensure that every section of the two-page application is filled out meticulously. Double-check your answers for accuracy, ensuring that your personal and professional information is up to date and correctly entered.

  2. Attach Required Documents: Include copies of certificates of completion for the required 40 hours of ADAD-approved continuing education, which must encompass 6 hours in counselor ethics. If applicable, request that official transcripts be sent directly from educational institutions to the Alcohol and Drug Abuse Division (ADAD).

  3. Submit the Renewal Fee: Include a $25.00 renewal fee with your application in the form of a money order or certified check, made payable to the "STATE DIRECTOR OF FINANCE." This demonstrates financial responsibility and adherence to procedural requirements.

  4. Sign the Application in Ink: Ensure your signature is applied in ink to the designated area. A handwritten signature is required as it signifies your personal affirmation and attestation to the truthfulness and accuracy of the provided information.

  5. Review the Code of Ethics: Carefully read and understand the Code of Ethics for Substance Abuse Counselors and Program Administrators as outlined, affirming your commitment to uphold these professional standards in your practice.

What You Shouldn't Do
  1. Leave Sections Incomplete: Do not skip any sections or leave blanks on the application form. Incomplete applications can cause delays or result in the rejection of your renewal request.

  2. Forget to Attach Documentation: Omitting necessary documentation, such as continuing education certificates or transcripts, can invalidate your application. Ensure all required proof is attached or arrangements for its delivery have been made.

  3. Use Personal Checks: Avoid using personal checks for the renewal fee. The specified forms of payment ensure the transaction is processed efficiently and without issue.

  4. Sign Digitally: Refrain from using a digital signature. The application specifies that your signature should be in ink, reflecting a personal touch and commitment to the renewal process.

  5. Ignore Updating Personal Information: Do not neglect to report any changes in your contact information, including name and address changes, to the Alcohol and Drug Abuse Division. Keeping your records current is essential for maintaining effective communication.

Misconceptions

When it comes to renewing your Certified Substance Abuse Counselor (CSAC) certification, there are several misconceptions that can lead to confusion. Understanding these can streamline your renewal process and ensure you remain compliant with all requirements. Here are seven common misconceptions:

  • Transcripts and certificates are optional: A widespread misconception is that providing transcripts or certification of completion for continuing education is optional. However, documenting 40 hours of continuing education, including 6 hours in counselor ethics, is mandatory for renewal. Official transcripts must be sent directly from the college to the Alcohol and Drug Abuse Division, or copies of certificates for ADAD-approved training must be attached.
  • Any form of continuing education is acceptable: Not all continuing education courses or programs are acceptable for renewal purposes. Only ADAD-approved courses fulfil the requirement, and you must ensure that the training you participate in is approved. Contact the Certification Office if you’re unsure.
  • The renewal fee is flexible: The $25.00 renewal fee is a fixed amount and must be included with your renewal application in the form of a money order or certified check payable to the "STATE DIRECTSRC="Finance."
  • Digital signatures are acceptable: For the renewal application, a physical signature in ink is required. This is to verify the authenticity of the application and certify that all the information provided is accurate to the best of your knowledge.
  • Distance education is unlimited: While distance education is permitted, it is capped at a maximum of 20 hours towards your continuing education requirement. This is to ensure a balanced approach to learning and professional development.
  • Teaching does not count towards continuing education: Teaching college courses or workshops can count towards your continuing education credit. The amount credited will be based on the number of actual hours of instruction for workshops, or converted from semester, trimester, or quarter credits for college courses.
  • Name and address changes can be reported anytime: It's crucial to report all name and address changes to the Alcohol and Drug Abuse Division promptly. Failure to do so can result in missed communications regarding your certification status and could potentially affect your legal ability to practice.

Understanding these misconceptions and the actual requirements for CSAC renewal can help ensure a smooth and successful renewal process, keeping you compliant and able to serve your community effectively.

Key takeaways

Filling out the Renewal CSAC form requires attention to detail and an understanding of the necessary steps to ensure a successful application process. Below are key takeaways that applicants should keep in mind:

  • Complete the Application: Applicants must thoroughly fill out both pages of the renewal application to avoid any delays in the processing of their renewal.
  • Continuing Education Credits: A total of 40 hours of ADAD-approved continuing education credits is required for renewal, including at least 6 hours focused on counselor ethics.
  • Document Verification: Attach copies of certificates of completion or have an official transcript sent directly to ADAD. This documentation is crucial for verifying the completion of continuing education requirements.
  • Renewal Fee: A payment of $25.00, either by money order or certified check, should be included with the application. It is payable to the "STATE DIRECTOR OF FINANCE."
  • Submission Address: Send the completed application, documentation of continuing education, and the renewal fee to the specified address for the Alcohol and Drug Abuse Division.
  • Accuracy of Information: Applicants must ensure all information provided on the application and in attachments is accurate and truthful. Any falsification may lead to the revocation of the application.
  • Code of Ethics Agreement: Applicants are required to agree to abide by the "Code of Ethics for Substance Abuse Counselors and Program Administrators" as a condition for renewal.
  • Notification of Changes: It is the applicant's responsibility to promptly report any changes in name and address to the Alcohol and Drug Abuse Division.
  • Record Retention: Be aware that records may be destroyed after two years from the date of certification expiration or revocation.
  • Educational Credit Conversion: Applicants should note the conversion rates for semester, trimester, and quarter credits towards the continuing education requirement. This is essential for accurately documenting educational credits.

Following these guidelines carefully will facilitate a smoother renewal process for Certified Substance Abuse Counselors seeking to maintain their certification and continue their professional practice.

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