Drug and Alcohol Studies
CITY COLLEGE OF SAN FRANCISCO
HEALTH EDUCATION DEPARTMENT
Would You Like to Become Certified as a
Drug & Alcohol Counselor?
Apply now to enter the Fall 2016
Drug & Alcohol Studies Cohort!
** DEADLINE: MAY 13, 2016 **
Sponsored by the San Francisco Department of Public Health –
Community Behavioral Health Services (CBHS)
The State of California requires drug and alcohol counselors to obtain certification by a Stateapproved certifying organization. The Drug & Alcohol Studies Program at City College is certified
by the California Association for Alcohol/Drug Educators (CAADE) to provide the education
necessary towards certification. This year, we are welcoming 30 students to join the Cohort of
the CCSF Drug & Alcohol Certificate Program starting Fall 2016. As part of the Cohort,
students will be provided a FREE BOOK LOAN for two semesters and a STIPEND upon
completion of the 2nd semester.
Students will attend school once a week with the following schedule: Fall 2016: Mondays from
5-8pm (August 15 to September 26) and Spring 2017: 4-9pm from January to May. At the end of
the Spring 2017 semester, students will have taken the first 3 classes necessary for the Certificate.
The Cohort is only open to students who are new to the Drug & Alcohol Studies Program at
CCSF. If you have already taken HLTH 100, 72, or 78, you cannot apply for this cohort and
scholarship.
To apply for participation in the Cohort, please fill out the attached application.
The deadline for submitting applications is Friday, May 13, 2016 at 5pm. Notification of
acceptance will be given by May 18. The Cohort will begin with a mandatory orientation and
first night of classes on Monday, August 15. If you have any questions or would like more
information, please contact Craig Wenzl at (415) 452-5159 or cwenzl@ccsf.edu.
This Cohort book loan and stipend are funded in part by the San Francisco Department of Public
Health – Community Behavioral Health Services (CBHS). CBHS has been helping students obtain
their alcohol and drug certification since 1998 by providing professional development opportunities
in collaboration with the Drug & Alcohol Studies Program at CCSF.
CITY COLLEGE OF SAN FRANCISCO  HEALTH EDUCATION DEPARTMENT
 50 PHELAN AVENUE, MU353  SAN FRANCISCO, CA 94112
TANDY ILES, DIRECTOR - TEL: (415) 452-5160  FAX: (415) 452-5162 EMAIL: tiles@ccsf.edu
CRAIG WENZL, ASSOCIATE DIRECTOR - TEL: (415) 452-5159  FAX: (415) 452-5162  EMAIL: cwenzl@ccsf.edu
www.ccsf.edu/das
*** DEADLINE: MAY 13, 2016 ***
City College of San Francisco - Drug and Alcohol Certificate Program
CBHS Cohort & Free Book Loan
Fall 2016 Application (Page 1 of 2)
Please complete both pages of this application. If you have any questions, please contact
Craig Wenzl at (415) 452-5159 or CWENZL@ccsf.edu.
Name:
Address:
Phone #:
Email:
Agreements (please check each box to confirm):
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I will attend the mandatory orientation and first night of classes 5-8pm on Monday,
Campus at 50 Phelan Avenue, San Francisco.
I will be able to attend the weekly classes: Fall 2016: Mondays from 5-8pm
(August 15 to September 26) and Spring 2017: 4-9pm from January to May.
I am new to the Drug & Alcohol Studies Program at CCSF and have not
already taken HLTH 100.
(For students in recovery): I have a minimum of two years of recovery time
(recommended).
Where did you hear about the Drug & Alcohol Studies Program?
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*** Are you currently working in the drug/alcohol field? (Yes/No) _
(Priority is given to employees of the San Francisco Department of Public Health [SFDPH] or
SFDPH-funded agencies, although everyone is welcome to apply.)
If yes, what is the agency?
Your role:
Name of supervisor:
Applicant’s Signature:
Date:
*** DEADLINE: MAY 13, 2016 ***
City College of San Francisco - Drug and Alcohol Certificate Program
CBHS Cohort & Free Book Loan
Fall 2016 Application (Page 2 of 2)
PERSONAL STATEMENT OF INTEREST:
Please tell us about you! Introduce yourself and tell us about your interest in our
program. If you have faced unusual challenges or hardships, please describe them
and how you have responded. Let us know what would make you a great candidate
for participation in our program. This is your chance to tell us about you! (Please
attach additional pages as necessary).
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Completed applications may be submitted in any of the following ways:
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Hand-deliver to Craig Wenzl, Multi-Use Building (MUB) room 353 (please clearly
mark “Craig Wenzl” on the envelope) or
Fax to 415-452-5162 (attn: Craig Wenzl) or
Mail to Craig Wenzl, CCSF, 50 Phelan Ave. Box MU353, San Francisco, CA 94112
(postmarked by May 11) or
Email to CWENZL@ccsf.edu