Equivalency Application Form for LMFTs and Clinical Fellows of AAMFT

Preferred Prefix

Preferred Pro-Noun

Legal First Name*

Preferred First Name

Middle Name or Initial

Legal Last Name *

Work Phone #

Home or Cell #

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email*

Please use the email address that you want CACFT to contact you at.

1. What is your Degree? Please provide full name and abbreviation. This should be the degree that qualifies you to become an LMFT or AAMFT Clinical Fellow *

Please upload a document that shows your degree. eg Diploma, transcript. *

2. Please upload a copy of your LMFT license OR an AAMFT document that states you are an AAMFT Clinical Fellow. *

3. I understand that RMFTs must complete 16 hours of continuing education. Information about what CEUs are acceptable can be found on this link.https://camft.ca/Continuing-Education-for-RMFTs/*

Yes

4. Ethics. Has your registration, certification or license to practice in the health care industry ever been suspended, revoked, restricted or denied, or has any other disciplinary action been taken against you by any provincial, federal or state, regulatory body or foreign jurisdiction, or are you presently under investigation by any regulatory body or professional association to the best of your knowledge?*

YesNo

5. AAMFT members, if you are practicing in a province/territory that is regulated please upload a document showing proof of registration.

All CACFT members are required to be in compliance with the regulatory laws of
the jurisdiction(s) in which they practice. It is each member's responsibility to be aware of, and to ensure that they are practicing within, the laws of the jurisdiction(s) in which they practice.

6. Truth and Reconciliation Reflections Requirement. Please click here to see the details about this relection.

6B. Please upload your Truth and Reconciliation Reflection here. *

7. If you are applying from outside of Canada, please explain why you would like to join CACFT/ACTCF.

8. Would you like to join a CACFT Branch? If yes, please indicate which Branch.

AlbertaBritish ColumbiaManitobaSaskatchewan

Please note: When you join a CACFT Branch you will be required to pay Branch annual dues as well as CACFT annual dues. You must be a member of CACFT to join a Branch. Please click here to learn about Branches.

9.. How did you learn about CACFT?

STEP TWO

The annual CACFT membership fee for RMFTs is $151.25 (plus tax) After your membership application is approved you will have fourteen (14) days to pay your membership fee. Your annual membership fees will be due on the anniversary date that you joined CACFT.

After you complete the form above you will be redirected to our payment page so you can pay the application fee of $50.00.

The application fee is non refundable.

Application Form for LMFTs and AAMFT Clinical Fellows