Affiliate Application Form

Affiliate Application Form
Please review the information at Membership Explained and be sure you have all the necessary information ready to complete your application. Please Complete the Two Step Process for completing your application for membership with The Canadian Association for Marriage and Family Therapy. Please read Step 2 before submitting your application form.
Your Full Name

Prefix First Name Middle Name Last Name
Preferred Prefix
First Name
Middle Name or Initial
Last Name
Email *
This is the email address all CAMFT correspondence will be sent to. If you are using a university email address you must remember when you leave the university to change your email address with CAMFT.
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Home or Cell Number *

Area Code Phone Number
Work Phone Number

Area Code Phone Number
Are you a mental health practitioner? *

Yes No
If you are a mental health provider why do you believe you belong in this membership category rather than Associate membership or RMFT membership?
What is your occupation? *
What is your Masters Degree? *
Please attach your Masters Degree *

Browse Files

Cancel of
Practice Setting
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? *

Yes No
Would you like to join a CAMFT Branch? If yes, please indicate which Branch you would like to join.

BC Branch AB MB SK
Please note: when you join a CAMFT Branch you will be required to pay Branch annual dues as well as CAMFT annual dues.

CAMFT Affiliate Member annual dues are $75.

BC was the first CAMFT Branch and is able to accept Branch annual dues. Affiliate dues BC Branch dues are $75. At this time the other three are not able to accept Branch annual dues, however you are welcome to join them now.

Please click here to read about CAMFT Branches.
Step Two

Make your $100.00 application payment.
The annual CAMFT membership fee for an Affiliate Member is $75.00. After your membership application is approved you will have fourteen (14) days to pay your annual membership fee.

After you complete the form above you will be redirected to our payment page.

The application fee is non refundable.
If you would prefer, you may mail a cheque payable to:

CAMFT
Post Office Box 1064
Tottenham, Ontario
Should be Empty:

Affiliate Application Form

Step Two