Equivalency Application Form for AAMFT Professional Members

Application Form for AAMFT Professional Members

(Clinical Fellows please use the other equivalency form)
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 AAMFT Professional Member *
Please upload a document that shows your degree. eg Diploma, transcript. *

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2. Please upload an AAMFT document that states you are an AAMFT Professional Member *

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

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6. If you are applying from outside of Canada, please explain why you would like to join CACFT/ACTCF.
7. 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.
8. How did you learn about CACFT?
STEP TWO

The annual CACFT membership fee for Associate members is $121.00 (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.
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