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Substance Abuse Assessment

ALCOHOL AND DRUG EDUCATION PROGRAM

A Substance Abuse Assessment consists of a one time meeting with a counselor from the Alcohol and Drug Education Program.  A student sanctioned to a Substance Abuse Assessment must comply with the recommendations provided by the counselor.


SUBSTANCE ABUSE ASSESSMENT REGISTRATION FORM

IMPORTANT: Please be certain of your referral before proceeding. To register for a SUBSTANCE ABUSE ASSESSMENT, please complete the form below. Within approximately one week, you will be contacted with your scheduled appointment date and time. This is determined based on the information you provide, so please have your schedule available when filling out the form.

PLEASE NOTE: A $100 administrative fee will be charged to your account for all programs that are a result of a disciplinary or court sanction. If you miss a class or appointment, you must reschedule, and you will be charged for the missed class/appointment in addition to your rescheduled class/appointment. If this is a self-referral, there is no fee. For questions about the Substance Abuse Assessment, please contact us at adeprogram@bc.edu

All fields required for registration are marked below.

Your Full Name (required)

Email Address (required)

Local Address (required)

Class Year (required)

Phone (required)

Referred By (required)

"Complete By" Date (required)


For each day of the week, please indicate your availability for a two-hour meeting. If you are unavailable on a particular day, simply do not select a time frame.


Monday between          and  
Tuesday between         and 
Wednesday between    and 
Thursday between        and  
Friday between         and  

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