Wisconsin Department of Safety and Professional Services
Health & Business Renewal Application
Application Status Query
Instructions:
Please allow one hour after receipt of your status update email for the updates to be reflected in the online checklist.
Please verify the checklist information below, including your address. If your address has changed, please
e-mail
your application number, name, profession, along with your old and new address. The Credentialing department posts status information following receipt and review of application materials.
As of
:
02/23/2021
Application#
:
740099
Name
:
Aloisi, Caleb D
Profession
:
Clinical Substance Abuse Counselor
Address
:
La Crosse, WI
Application Status
:
(Permanent license issued)
Requirements Not Met:
Description
Status
Comments (Please note, not all requirements will include comments)
Requirements Met:
Description
Status
Comments (Please note, not all requirements will include comments)
NCAC I Exam
Met
Met with SAC
Wisconsin Statutes and Rules Exam
Met
Met with SACIT
Application Complete
Met
Application Fee
Met
$85
Education and Training Form including proof of attendance and completion
Met
Verified with SAC - Viterbo University - 360 hours
Official Transcript(s)
Met
11/25/20: Viterbo - BS Sociology 5/12/18 -ssa
11/10/2020: need transcript for a degree in the Behavioral Science field, school MUST send directly to: Attn: CSAC, DSPS, PO Box 8935, Madison WI 53708-8935 or email to: dspscredsubstanceabuse@wi.gov – EC
Supervised Experience Form
Met
1/29/2021: completion of 5,000 hours of supervised experience required. Your supervisor indicated hours of experience from 11/25/19-12/17/20. Dates provided do NOT support the 5,000 hours of supervised counseling experience needed for the CSAC. Can only count 2,000 hours per calendar year. Supervisor will need to redo form 2749, print form at DSPS website & have your supervisor mail it to: Attn: Substance Abuse Section, DSPS, PO Box 8935, Madison WI 53708-8935 or email it to: dspscredsubstanceabuse@wi.gov –ssa
11/10/2020: need form 2749 to come directly from your supervisor, print form at DSPS website & have your supervisor mail it to: Attn: Substance Abuse Section, DSPS, PO Box 8935, Madison WI 53708-8935 or email it to: dspscredsubstanceabuse@wi.gov – EC
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