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Date
*
MM slash DD slash YYYY
Name
*
First
Last
Address
*
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City
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State
ZIP Code
Phone
*
Email Address
*
Website
Applying as a:
*
New Member
Renewing Member
Profession
*
Psychologist
Social Worker
Marriage and Family Therapist
Counselor
Nurse
Physician
Student
Other
Profession (Other)
Degree
*
Ph.D./Psy.D.
MSW
MFT
PC
M.D.
M.Div
RN
Other
Degree (Other)
Licensed as a...
Are you a Certified EFT therapist?
*
Yes
No
In the process
Are you a Certified EFT supervisor or supervisor-in-training?
*
Yes
No
Payment (Renew by 12/31/22 and receive $10 off the cost of Full or Associate membership. Discount taken at checkout.)
*
PCEFT Full Membership $90
PCEFT Associate Membership $55
PCEFT Student Membership $25
NOTE: A full PCEFT member MUST be a member of ICEEFT and have completed an Externship. If you haven't completed an Externship and/or are not a member of ICEEFT please select Associate Member status.
Are you an ICEEFT Member?
*
Yes
No
You must be a Member in good standing of ICEEFT to join PCEFT as a FULL MEMBER.
Have you completed an EFT Externship?
*
Yes
No
Have you completed Core Skills?
*
Yes
No
Currently in Core Skills training
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