CADC Scholarship Application 2024

CADC Scholarship Student Information

Please complete the following information regarding your personal contact, demographic and household information. These questions in this section do not impact scholarship eligibility but are required for reporting purposes.

1. What is your full name?

First Name

Last Name

2. What is the current residential address?

Country

Street

City

Region

Postal Code

3. What is your personal email address?

4. What is your GSU email address? (Optional)

5. What is your current phone number?

6. What is your GSU ID Number? (Optional)

7. What most accurately describes you?

Male

Female

Non-binary

Something else (please specify)

8. What is your date of birth?

9. Please specify your race and ethnicity. Check all that apply

10. What is your annual household income?

11. What is your current employment status?

Full-time

Part-time

Not currently working

11a. If employed, are you currently working at an agency in Illinois that focuses on substance use prevention, treatment, harm-reduction, or recovery services?

Yes

No

11b. If yes, please include the name of the organization and your current job role/title.

CADC Scholarship Academic Program Information

The CADC scholarship will provide students with tuition funds for up to six hours of the core class required to obtain the Masters of Addictions Studies at GSU. Please complete the following questions regarding your academic progress and anticipated enrollment for the Spring 2024 and Summer 2024 semesters.

12. What semester did or will you first enroll in the Masters of Addictions Studies program at GSU?

13. What is your anticipated graduation date?

14. Are you enrolled at GSU as a part-time or full-time student?

Full-time

Part-time

15. What is your current cumulative graduate GPA?

17. Are you planning to take online or in-person classes for Summer 2024?

All online

All in person

Combination of online and in person

CADC Scholarship Student Support Costs

If funds allow, the CADC scholarship can provide students with financial supports for travel and childcare during time the student is participating in a GSU Addictions Studies Core Class or a GSU sponsored internship. Please answer the questions regarding supports needed for the Spring 2024 and Summer 2024 semesters. If awarded the scholarship you will be required to provide additional documentation to be eligible for student support funding.

18. Do you have access to a laptop or desktop computer that is capable of accessing Microsoft Office programs and GSU academic websites, such as Blackboard?

Yes

No

19. Do you plan to use a private vehicle or public transportation to attend classes on the GSU campus?

Private Vehicle

Public Transportation

Other (please specify)

20. Do you plan to use a private vehicle or public transportation to attend your internship site?

Private Vehicle

Public Transportation

Other (please specify)

21. Do you anticipate enrolling at least one child in a licensed daycare facility so you can participate in classes or internship trainings?

Yes

No

22. If yes, for how many children will be enrolled in a licensed daycare facility?

23. What is your average daily cost for childcare?

CADC Scholarship Personal Statements

Please include information on your personal impact of receiving the scholarship and future career plans as it relates to the CADC.

24. How would you benefit from being a recipient of the scholarship?

25. How would receiving this scholarship change your participation in the program?

26. Discuss your post-graduation career goals.

CADC Scholarship Eligibility Statements

Please review the following statements to finalize scholarship eligibility.

27. To be eligible for the CADC scholarship you must achieve and maintain a 3.0 GPA throughout all core MHS degree classes. Do you commit to meeting this requirement throughout the CADC scholarship?

Yes

No

28. To be eligible for the CADC scholarship you provide proof of and Summer 2024 class enrollment, proof of Illinois resident, and, if applicable, a proof of childcare costs, and mileage. Do you commit to providing these documents if awarded the scholarship?

Yes

No

29. To be eligible for the CADC scholarship you must commit to obtaining the Illinois Certification Board's Certified Alcohol & Drug Counselor (CADC) credential. Do you commit to obtaining your CADC credential after graduation?

Yes

No

30. To be eligible for the CADC scholarship you must commit to working in an Illinois SUPR-licensed facility for a minimum of two years following graduation. Do you agree to this work commitment for two years?

Yes

No

31. By submitting this application, you confirm that you understand the eligibility requirements for the CADC scholarship, including the minimum 3.0 GPA requirement, the documentation requirements, and the 2-year post-degree work requirement. You also confirm that you agree to adhere to these eligibility requirements and accept the penalties associated with nonadherence to the scholarship eligibility requirements, including forfeiture or repayment of funding. Enter your full name in place of a signature.

CADC Scholarship Application 2024

CADC Scholarship Student Information

1. What is your full name?

2. What is the current residential address?

2. What is the current residential address?

4. What is your GSU email address? (Optional)

5. What is your current phone number?

6. What is your GSU ID Number? (Optional)

7. What most accurately describes you?

7. What most accurately describes you?

8. What is your date of birth?

8. What is your date of birth?

9. Please specify your race and ethnicity. Check all that apply

9. Please specify your race and ethnicity. Check all that apply

10. What is your annual household income?

10. What is your annual household income?

11. What is your current employment status?

11. What is your current employment status?

CADC Scholarship Academic Program Information

12. What semester did or will you first enroll in the Masters of Addictions Studies program at GSU?

13. What is your anticipated graduation date?

14. Are you enrolled at GSU as a part-time or full-time student?

14. Are you enrolled at GSU as a part-time or full-time student?

15. What is your current cumulative graduate GPA?

16. What classes are you planning to enroll in for the Summer 2024 semester?

16. What classes are you planning to enroll in for the Summer 2024 semester?

17. Are you planning to take online or in-person classes for Summer 2024?

17. Are you planning to take online or in-person classes for Summer 2024?

CADC Scholarship Student Support Costs

18. Do you have access to a laptop or desktop computer that is capable of accessing Microsoft Office programs and GSU academic websites, such as Blackboard?

18. Do you have access to a laptop or desktop computer that is capable of accessing Microsoft Office programs and GSU academic websites, such as Blackboard?

19. Do you plan to use a private vehicle or public transportation to attend classes on the GSU campus?

19. Do you plan to use a private vehicle or public transportation to attend classes on the GSU campus?

20. Do you plan to use a private vehicle or public transportation to attend your internship site?

20. Do you plan to use a private vehicle or public transportation to attend your internship site?

21. Do you anticipate enrolling at least one child in a licensed daycare facility so you can participate in classes or internship trainings?

21. Do you anticipate enrolling at least one child in a licensed daycare facility so you can participate in classes or internship trainings?

22. If yes, for how many children will be enrolled in a licensed daycare facility?

23. What is your average daily cost for childcare?

CADC Scholarship Personal Statements

24. How would you benefit from being a recipient of the scholarship?

25. How would receiving this scholarship change your participation in the program?

26. Discuss your post-graduation career goals.

CADC Scholarship Eligibility Statements

27. To be eligible for the CADC scholarship you must achieve and maintain a 3.0 GPA throughout all core MHS degree classes. Do you commit to meeting this requirement throughout the CADC scholarship?

27. To be eligible for the CADC scholarship you must achieve and maintain a 3.0 GPA throughout all core MHS degree classes. Do you commit to meeting this requirement throughout the CADC scholarship?

28. To be eligible for the CADC scholarship you provide proof of and Summer 2024 class enrollment, proof of Illinois resident, and, if applicable, a proof of childcare costs, and mileage. Do you commit to providing these documents if awarded the scholarship?

28. To be eligible for the CADC scholarship you provide proof of and Summer 2024 class enrollment, proof of Illinois resident, and, if applicable, a proof of childcare costs, and mileage. Do you commit to providing these documents if awarded the scholarship?

29. To be eligible for the CADC scholarship you must commit to obtaining the Illinois Certification Board's Certified Alcohol & Drug Counselor (CADC) credential. Do you commit to obtaining your CADC credential after graduation?

29. To be eligible for the CADC scholarship you must commit to obtaining the Illinois Certification Board's Certified Alcohol & Drug Counselor (CADC) credential. Do you commit to obtaining your CADC credential after graduation?

30. To be eligible for the CADC scholarship you must commit to working in an Illinois SUPR-licensed facility for a minimum of two years following graduation. Do you agree to this work commitment for two years?

30. To be eligible for the CADC scholarship you must commit to working in an Illinois SUPR-licensed facility for a minimum of two years following graduation. Do you agree to this work commitment for two years?