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Substance Abuse Placement Application

Students enrolled in the Substance Abuse Certificate Program should complete and submit the information below.
Can you pass a background check?   Many organizations require you to pass a background check to complete practicum hours at their site. In order to find an appropriate placement for you, please indicate if you can pass a background check or not. (For some agencies this is an out of pocket expense.)


Do you have a current LSAA?


Are you planning on using your practicum site to complete LSAA hours?


Area of Town Select all areas of town you would prefer to be placed. These options cannot always be guaranteed but will be taken into consideration.
Are you currently employed at a social service agency?