Skip to content
PCB 2025 Annual Conference Evaluation
Demographic Information
Thank you for your attendance and participation at the PCB 2025 Annual Conference. Upon completion of the survey we will email you a certificate of attendance within 10 working days.
*
1.
Certification hours earned through this conference are to be applied to (Please check all that apply):
(Required.)
PA Certification Board (PCB)
NASW-PA
*
2.
Name (Full name: First, Last)
(Required.)
*
3.
Valid Email Address
(Required.)
*
4.
The primary purpose of attending the trainings you selected
(Required.)
Seeking Continuing Ed credit hours to apply for re-certification
Seeking Continuing Ed credit hours to apply for additional certification
Seeking Continuing Ed credit hours to apply to initial certification
Seeking to increase knowledge base to better serve clients
Other
Other (please specify)
*
5.
Certifications I hold are (please mark all that apply):
(Required.)
CAAC - Certified Associate Addiction Counselor
CADC - Certified Alcohol & Drug Counselor
CAADC - Certified Advanced Alcohol & Drug Counselor
CCS - Certified Clinical Supervisor
CPS - Certified Prevention Specialist
CCJP - Certified Criminal Justice Addictions Professional
CCMS - Certified Case Manager Supervisor
CCSM - Certified Case Manager
CAAP - Certified Allied Addiction Practitioner
CCDP - Certified Co-Occurring Disorders Professional
CCDPD - Certified Co-Occurring Disorders Professional Diplomate
CRS - Certified Recovery Specialist
CRSS - Certified Recovery Specialist Supervisor
CFRS - Certified Family Recovery Specialist
CPS - Certified Peer Specialist
CCHW - Certified Community Health Worker
CIP - Certified Intervention Professional
LSW - Licensed Social Worker
LCSW - Licensed Clinical Social Worker
LMFT- Licensed Marriage and Family Therapist
LPC- Licensed Professional Counselor
Not Certified or Licensed
Other (please specify)
