UMass Boston

ACEP Program Application

Addictions Counselor Educational Program (ACEP)

Please complete the application below.

Page 1

Contact Information








Are you currently employed?


How did you hear about the ACEP program?


Page 2

Education
Please list the school's name, location, and years attended (or year graduated) for the following:




Do you have experience in Human Services?

Page 3

Financial Information
Note: The UMass Boston ACEP Program is not eligible for FAFSA-based financial aid.

Professional References
Reference #1





Reference #2





Interest

Acknowledgement