CEU Application

Download CEU Guidelines

CEU Application

Please make sure that all required areas are filled out prior to applying online. Should there be a mistake or change needed, email LouisianaMFT@gmail.com

Name of Sponsor (person or agency):(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Phone(Required)

Email(Required)

Program Title(Required)

Presenter(s):(Required)

Program Content Area (s)(Required)

The program content areas for review for LAMFT Approved Provider Status include:

Theoretical Knowledge of Marriage and Family Therapy

Clinical Knowledge of Marriage and Family Therapy

Assessment and Treatment in Marriage and Family Therapy

Individual, Couple and Family Development

Professional Identity and Ethics in Marriage and Family Therapy

Research in Marriage and Family Therapy

Supervision in Marriage and Family Therapy

Other

Payment

Event Dues(Required)

Choose One

One time workshop - $75

Repeated Workshop (valid for one (1) calendar year from date of initial workshop) - $150

Conferences/Conventions/Symposiums/Multi-day or Continuation Trainings/Workshops - $200

Expedited review fee(Required)

Is your presentation less than 30 days from today's date?

No

Yes - $50

BILLING ADDRESS(Required)

Street Address Address Line 2 City State ZIP Code

Credit Card(Required)

Card Details

Cardholder Name

CAPTCHA

Total

Email

This field is for validation purposes and should be left unchanged.