Thank you for choosing UW Flexible Option! We are excited to partner with you in continuing your education. Please complete this registration form to enroll in the Substance Use Disorders Counselor Certificate Program at a cost of $2,250 for a subscription period. Once payment is successfully processed, you will receive a confirmation email with receipt of payment plus a welcome letter with more information on next steps for getting started in this program. Should you have any questions, please contact us at 877-895-3276.

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Personal Information

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Additional Credentials Held

Check any of the credentials you currently hold:
	Licensed Clinical Social Worker (LCSW)
	Licensed Marriage and Family Therapist (LMFT)
	Licensed Professional Counselor (LPC)
	Masters of Social Work (MSW)

Desired Subscription Start Term

Desired Start Term*	Select One... May 2023 6M June 2023 6M July 2023 6M
I certify that the following is true:*
	I have completed, or am actively pursuing with a minimum of 60 credits earned, a bachelor degree in a behavioral health (social work, psychology, counseling psychology, nursing, criminal justice) or related field.
	I have reviewed the Terms and Conditions, as well as the Program Policies of the UW Flexible Option