Department of Budget and Management

**Please note that your answers on the supplemental questionnaire must correspond to the information provided on your application to receive credit. Applications that do not include a completed supplemental questionnaire will be considered incomplete and may be subject to disapproval.**

Do you possess a current license from the Maryland Board of Professional Counselors and Therapists as a Certified Associate Counselor-Alcohol and Drug (CAC-AD)? Please indicate your license number and expiration date below.  (Submitting a copy of your license or license verification is recommended).