GEORGIA ASSOCIATION FOR MARRIAGE AND FAMILY THERAPY GUIDELINES FOR CONTINUING EDUCATION APPROVAL JANUARY 1, 2018 DECEMBER 31, 2018

Similar documents
Washington Mental Health Counselors Association APPLICATION GUIDELINES

NASW CONTINUING EDUCATION PROVIDER APPROVAL

Corporate Sponsorship Program

Tune In: Engaging Teens in the Play Therapy Process Jodi Smith, MSW, LCSW, RPT-S Brief Description of Training

Sponsor Continuing Education Instructions and Application

South Carolina Department of Labor, Licensing and Regulation South Carolina Board of Long Term Health Care Administrators

NASW-Idaho Chapter. Application Date: Date of Event: Applying Agency: Name of Event:

NORTH CAROLINA MARRIAGE AND FAMILY THERAPY LICENSURE BOARD

Single Program Application

CPD Endorsement Process and Application

Six Continuing Education Credits. Presented by Daniel O. Taube,, J.D. APA Insurance Trust. Friday, June 9,, :00 AM to 4:30 PM

AGA KHAN UNIVERSITY SCHOOL OF NURSING AND MIDWIFERY, TANZANIA APPLICATION FOR ADMISSION

Frequently Asked Questions

ACEP Application Program Delivery Format Fee

Annual Renewal Application:

COSCA members are encouraged to use the COSCA Logo - Members Info COSCA Logo Acceptable Use Policy.

Renewal for Licensure Form FAXES ARE NOT ACCEPTABLE

PROPOSED REGULATION OF THE BOARD OF EXAMINERS FOR MARRIAGE AND FAMILY THERAPISTS AND CLINICAL PROFESSIONAL COUNSELORS. LCB File No.

77th OREGON LEGISLATIVE ASSEMBLY Regular Session. Enrolled. House Bill 2768 CHAPTER... AN ACT

TITLE 27 LEGISLATIVE RULE BOARD OF EXAMINERS IN COUNSELING SERIES 8 MARRIAGE AND FAMILY THERAPIST LICENSING RULE

ALLIED HEALTH PROFESSIONAL CREDENTIALING APPLICATION FORM

ACT NMMM ACT No. 571 NURSING FACILITY and ADULT RESIDENTIAL CARE FACILITY DEMENTIA TRAINING CURRICULUM APPROVAL APPLICATION PACKET

Policy Issuer (Unit/Program) Policy Number. QM QM Effective Date Revision Date Functional Area: Beneficiary Protection

CHAPTER Committee Substitute for House Bill No. 373

AGA KHAN UNIVERSITY SCHOOL OF NURSING AND MIDWIFERY, UGANDA APPLICATION FOR ADMISSION

Counselor, Social Worker & Marriage and Family Therapist Board

ACT No. 571 NURSING FACILITY and ADULT RESIDENTIAL CARE FACILITY DEMENTIA TRAINING CURRICULUM APPROVAL APPLICATION PACKET

What type of institutional or programmatic accreditation is required?

ANNIVERSARY OF THE CHILD TRAUMA RESEARCH PROGRAM

What type of institutional or programmatic accreditation is required? Does the State require the program to have COAMFTE or CACREP Accreditation?

CURRICULUM VITA. M.S. Clinical Mental Health Counseling 2009 University of Scranton, Scranton, PA

EMERGENCY NURSE PRACTITIONER (ENP) CERTIFICATION BY EXAMINATION PAPER APPLICATION

Ethics in a Technological World

EMERGENCY NURSE PRACTITIONER (ENP) CERTIFICATION BY EXAMINATION PAPER APPLICATION

EMERGENCY NURSE PRACTITIONER (ENP) CERTIFICATION BY EXAMINATION PAPER APPLICATION

The GHR is the Registering Agency for the General Hypnotherapy Standards Council. Registration Form. Title and Full Name... Date of Birth. Website...

BUSINESS EXPO TUESDAY SEPTEMBER 19, :00-7:00 PM RICHLAND CREEK COMMUNITY CHURCH, 3229 BURLINGTON MILLS RD., WAKE FOREST BOOTH SPACE

Government Finance Officers Association Training Seminars Registration Form November 2017 March 2018

REVISED 05/12 STATE BOARD OF SOCIAL WORKERS, MARRIAGE AND FAMILY THERAPISTS AND PROFESSIONAL COUNSELORS P.O. BOX 2649 HARRISBURG, PA

Research Grants. For Humanities Scholars

DOLORES H. JANIFER MEMORIAL SCHOLARSHIP Harford County Z-HOPE Foundation

NYSSCA. conference 2o14 SCHOOL COUNSELORS: INFORMED Accountable impactful. October 31 st and November 1 st HILTON HOTEL ALBANY, NEW YORK HURRY!

Credit Information. Addiction Counselors (Self-Study)

Music Care Conference Mississauga 2015

Office of Health Facility Licensure & Certification

AGA KHAN UNIVERSITY SCHOOL OF NURSING AND MIDWIFERY, KENYA APPLICATION FOR ADMISSION

Call for Papers Speaker Packet for the 45th Annual FHCACA State Conference

Office of Health Facility Licensure & Certification

REINSTATEMENT APPLICATION PACKET

Certification Renewal Policies and Procedures

NABET Accreditation Criteria for QMS Consultant Organizations (ISO 9001: 2008)

Creative Family Therapy Techniques

CREDENTIAL APPLICATION FOR MASTER ADDICTION COUNSELOR

Des Moines Area Community College (DMACC) Continuing Education for Health Care

CALL FOR PRESENTATIONS 2018 PRE-CONFERENCE INSTITUTE & ANNUAL CONFERENCE Pre-Conference Institute March 15; Annual Conference March 16-17

Credentialing Guide:

ACE PROVIDER HANDBOOK

MSSW Specialized Courses and Specialization Core Courses

COUN 239 Supervised Fieldwork Clinical Agreement MFT and PCC Counseling Programs

Attach head and shoulders photo here (affix with tape or staple only; do not use glue)

JUVENILE SEXUAL OFFENDER ASSESSMENT PROTOCOL-II J-SOAP-II TRAINING

Section 5: Technical Proposal- Standard Forms

TO BE FILLED IN BLOCK LETTERS

AGA KHAN UNIVERSITY SCHOOL OF NURSING AND MIDWIFERY, UGANDA APPLICATION FOR ADMISSION

APPLICATION FOR TITLE AND DESIGNATION AS A CHARTERED MANAGER (C.Mgr.) Procedure M 111(16) GIVEN NAME(S)

This RfP is also available on the CEMCO website under the Community Tab:

PROGRAM PLANNING COMMITTEE

West Virginia Board of Examiners in Counseling

2018 MNA ANNUAL CONVENTION

Debbie Bechler MFT Student Advisor, Administrative Assistant

Application for Professional Social Work Continuing Education Credit, including Attachment A: CEU Application Worksheet in its entirety.

CMHC COURSE # COUN 700. Psychological Foundations in COUN 703 Process. H Research & Evaluation COUN 794 Seminar in Research 3

Application for Admission

Putting the Pieces Together

Before we begin our sessions together, please complete the enclosed forms:

Tulane University APPLICATION FOR ADMISSION Public Health In Cuba May 27 June 7, 2013

OCCUPATIONAL THERAPY AUSTRALIA NT/QLD DIVISION Clinical Research Bursary APPLICATION FORM AND GUIDELINES

A Canadian Learning Organization. Registration Form for CBT-CR Utilizing Cognitive Behaviour Therapy in Couples Therapy

2018 Annual Meeting & MuseumExpo

RENEWAL APPLICATION FOR A PERMIT TO ACT AS AN AGENT FOR A PRIVATE BUSINESS OR TRADE SCHOOL IN DELAWARE. Year:

Health Careers Scholarship Application Packet

Advanced. Credentialed Clinical Instructor Program. Policies and Procedures

Notes for Applicants:

Department of Veterans Affairs VA HANDBOOK 5005/42. September 28, 2010 STAFFING

2016 Kansas CTE Summit

WASTECON 2013 REGISTRATION FORM Long Beach, California September 17-19, 2013

A Model for Ethical Decision Making:

Orlando, Florida Friday, February 27 and Saturday, February 28, 2004 featuring. Eliana Gil, PhD, LMFT, RPT-S

DYING, DEATH AND GRIEF PHENOMENA

American Horticultural Therapy Strategic Plan Association March 2015-March , 2, and 3 year plan

Mississippi State Department of Health Application for License Renewal of Ambulatory Surgical Facility Licensure Year: July 1, June 30, 2019

EXECUTIVE SUMMARY. Clinical Certification

Grant Guidance. Thomas-Forbes & Kester, LLC

Complete the enclosed application and attach all supporting documentation.

A Public Service Sorority Atlanta Alumnae Chapter

CARPE DIEM FOUNDATION OF ILLINOIS

NCCDP National Council of Certified Dementia Practitioners. Indiana Health Care Association

BATTLING BIAS OCTOBER 11-13, 2017 BREAKING DOWN BARRIERS REGISTRATION NOW OPEN ANNUAL PATIENT SAFETY CONFERENCE. Jointly provided by

Alabama Association 1 of Chiefs of Police

CAREER AND TECHNICAL EDUCATION. July 29-31, 2018 Hilton Garden Inn & Conference Center Manhattan, KS Kansas CTE Summit

Transcription:

GEORGIA ASSOCIATION FOR MARRIAGE AND FAMILY THERAPY GUIDELINES FOR CONTINUING EDUCATION APPROVAL JANUARY 1, 2018 DECEMBER 31, 2018 1. The Georgia Composite Board of Professional Counselors, Social Workers and Marriage and Family Therapists recognizes GAMFT as an appropriate organization to approve continuing education programs for licensed marriage and family therapists. Consequently, GAMFT has developed a procedure to approve programs for MFT continuing education credit. Such approval will be helpful in attracting marriage and family therapists desiring state licensing renewal to your continuing education program. 2. GAMFT will approve programs for MFT "core" or "ethics" credit that offer continuing education relevant to practice, theory or research in the field of couple and/or family therapy and are taught by qualified professionals. 3. GAMFT does not approve related hours. Submit only those applications seeking core or "ethics" hours. 4. Multiple offerings of the same workshop may be submitted on one application if all the offerings are within one year of the application date and if the dates are included in the application. Similarly, workshops that are part of a series may be submitted on one application if all the offerings are within one year of the application date and if each workshop in the series is fully described in the application. 5. Applications should be submitted at least six (6) weeks prior to the continuing education program in order to allow for processing. A late fee will be required for processing of applications submitted less than six (6) weeks prior to the date of the offering. Applications submitted less than two (2) weeks prior to the presentation will not be processed. 6. Retroactive approval is not granted. 7. The following non-refundable processing fees must be submitted with each application: a. $100.00 per offering if a fee is charged for attending the workshop/conference. b. $50.00 per offering if no fee is charged for attending the workshop/conference. c. Add $25.00 for each additional presentation (up to $100.00) for multiple offerings of the same workshop or for a series of workshops within one year of the application date. d. Add a $25.00 late fee for applications submitted less than six (6) weeks prior to the presentation. 8. Applicants granted CE approval must create and keep on file for three (3) years a list of all MFT attendees. GAMFT does not maintain files of workshop participants. 1

9. To obtain GAMFT approval, the association, agency, organization or individual must complete and return the Application for Continuing Education Approval, including: a. a vita or completed Presenter Profile for all presenters; b. a copy or draft of the workshop/conference brochure; c. the evaluation form to be used by attendees in assessing whether or not the educational objectives were met; d. a check for the non-refundable processing fee, made payable to GAMFT; and e. a self-addressed, stamped envelope. 10. After the Continuing Education Committee reviews the application, a decision will be made about whether it meets the requirements for MFT core or "ethics" CE and for how many hours. The sponsoring organization will be notified by mail of this decision. 11. If the application is approved, the sponsoring organization must issue a CE certificate to each MFT participant who attends and completes the program. The CE certificate must include the name of the sponsoring organization, the title and date(s) of the program, the number of CE hours completed and a statement that the workshop/conference has been approved as core (or ethics) hours by the Georgia Association for Marriage and Family Therapy. CE certificates should be safeguarded to ensure that only those attending the full presentation receive a certificate, and any extra certificates should be destroyed. 12. Approved programs will be listed, at no additional cost, in GAMFT's Continuing Education Calendar, which is distributed to members and subscribers bi-monthly in the GAMFT Newsletter and posted monthly on the GAMFT website. In addition, 1/4, 1/2 and full page newsletter advertisements may be purchased for $70.00, $140.00 and $280.00 respectively by contacting the GAMFT office at (404) 261-1185. GAMFT members receive a 20% discount on advertising rates. 13. Please restrict phone inquiries. All decisions regarding applications are made in committee meetings in response to written applications and correspondence. 14. Mail all applications to: GAMFT CE Chair PO BOX 29745 Atlanta, GA 30359 office@gamft.org 404-261-1185 2

GEORGIA ASSOCIATION FOR MARRIAGE AND FAMILY THERAPY APPLICATION FOR CONTINUING EDUCATION APPROVAL JANUARY 1, 2018 DECEMBER 31, 2018 1. Name of Sponsoring Organization:... 2. Address:... 3. Contact Person:... 4. Phone:... 5. Fax:... 6. Type of Organization:... 7. Name of Workshop/Conference:... 8. Date(s) of Workshop/Conference:... 9. Name and Location of Facility:... 10. Is this workshop/conference intended to provide Ethics CE hours? Yes No 11. Cost to Participants:... 12. Amount of Enclosed Processing Fee: $... Check Number:... For GAMFT Continuing Education Committee Use Only ID #... CE Hours Per Offering: Core Hours... Ethics Hours... Total CE Hours Approved...... CE Committee Chair 3

13. Program Description. Include a description of topics to be presented, goals and objectives, and relevance to practice, theory or research in the field of marital and/or family therapy. Please note that a brochure does not substitute for completion of this section. 14. Please complete the schedule below. List instructional hours only, omitting any break time. Date Time of Each Session Instructional Hours Begins Begins Begins Begins Begins Begins Begins Begins Begins Begins Total Instructional Hours: 4

15. List All Presenters. Include a vita or, for programs with multiple presenters, complete the enclosed Presenter Profile for each presenter.... 16. Describe Target Audience:... 17. Certification and Documentation (please initial): CE certificates will be presented to all MFTs who attend the program. CE certificates will be safeguarded to insure that only those attending the full presentation will receive a certificate and that any extra certificates will be destroyed. CE certificates are valid only for the dates given on the application. A list of those attending the program will be created and kept on record for a period of three (3) years. Evaluation forms will be made available to GAMFT upon request. 18. In addition to the above information, the following must be included in order for the application to be considered: (a) A Vita or completed Presenter Profile for all presenters; (b) A copy or draft of the workshop/conference brochure; (c) The evaluation form to be used by attendees in assessing whether or not the educational objectives were met; (d) A check for the non-refundable processing fee, made payable to GAMFT; and (e) A self-addressed, stamped envelope. 19. Signature of Person Submitting Application Date Submitted 20. Mail all applications to: GAMFT CE Chair PO BOX 29745 Atlanta, GA 30359 office@gamft.org 404-261-1185 5

GEORGIA ASSOCIATION FOR MARRIAGE AND FAMILY THERAPY APPLICATION FOR CONTINUING EDUCATION APPROVAL PRESENTER PROFILE For workshops/conferences with multiple presenters, reproduce and complete this form for each presenter. 1. Name of Presenter:... 2. Education/Degrees:... 3. Licenses:... 4. Current Occupation/Positions Held:... 5. Topic of Presentation:... 6. Summary of Relevant Qualifications:... 6