BACE Part 1 Application

Black Addiction Counselor Education

After a potential participant submits the Part 1 Application and Part 2 (two (2) letters of recommendation), an appointment will be scheduled with the Program Director. Acceptance decisions are made on an individual basis. As soon as decisions are made, candidates will be notified in writing.

Please use the form below to submit your two professional letters of recommendation to the program.

Online applications are preferred. Please contact Della Blake, BACE Program Director at drblake@bace-aei.org if you need to submit a paper application.

The 2020 Boston and Springfield classes are currently meeting virtually due to COVID-19. The 2021 Boston and Springfield classes will begin in a virtual or live format in the fall of 2021, depending on the public health situation.

If you are interested in applying for the next program, use this form. Please note that one section of this form requires that you upload your resume.

Due to demand and a growing waiting list, there is limited space for this program. The program will give priority to individuals who submit complete applications with letters of reference promptly.
1. Personal Information

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* First Name:

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* Last Name:

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* Are you applying for the Boston, MA class or the Springfield, MA class?

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* How did you learn about this program? *

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* Address Line 1

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* Address Line 2

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* City

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* State

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* Zip code

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* Phone

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* Email

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* Alternate email

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* Age

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* Gender

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* National/Ethnicity (please be specific):

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* What language(s) do you speak?

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* Are you in recovery from a substance use disorder or mental health disorder (i.e. cocaine, compulsive gambling, depression)?

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* If you answered YES, please specify length of time in recovery:

2. Employment Information

If Applicable

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* Agency Name

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* Position / Title

Work Address

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* Address Line 1

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* Address Line 2

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* City

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* State

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* Zip Code

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* Work Phone

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* Work Email

3. Education Information

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* Please check all applicable information about your education:

4. Resume and Employment History

Please use the button below to upload your resume. Resume must include your employment history.

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* Please use this button to upload a copy of your resume.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
Choose File
5. Previous Training

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* Have you ever received other formal training in substance use disorder or mental health counseling?

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* If yes, briefly describe training(s) and date(s):

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* 6. Counseling Experience

7. Criminal History

Please note: criminal conviction is not automatic grounds for rejection. Please respond for any violations including misdemeanors and/or traffic violations.

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* Have you ever been convicted of a crime?                          

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* Are there any pending charges against you currently?

8. Personal Statement

How do you feel this program will help you to achieve your professional goal(s)? Either use boxes below, or upload a file with your personal statement. (Please limit to no more than 500 words.)

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* Upload Personal Statement File (or use paragraph boxes below to provide personal statement).

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.
Choose File

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* Personal Statement Paragraph 1

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* Personal Statement Paragraph 2

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* Personal Statement Paragraph 3 (if needed):

9. Signatures

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* Required Electronic Signatures

Be sure to click on "Submit" button below.

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