Board of Marital & Family Therapy Applications & Forms License Applications Application for Marital and Family Therapist #08-4203, Revised 10/26/2016 Application for Approved Marital & Family Therapy Supervisor #08-4252, Revised 04/16/2014 Application for Marital and Family Associate License #08-4378, Revised 10/26/2016 Verification of Approved Contact Hours #08-4665, Revised 09/14/2015 Continuing Education Providers Approval Form #08-4087, Revised 01/12/2016 Renewal License Applications Biennial Marital and Family License Renewal Application #08-4115, Revised 10/27/2020 Please do not submit your certificates with your renewal application. Only submit documentation of your continuing education activity if you are notified that you have randomly been selected for an audit. Miscellaneous Forms Request for Examination Review Change of Name Form Change of Address Form Request for License Verification Form Request Duplicate License Form Credit Card Payment Form Useful Information List of Board Approved Supervisors List of Board Approved Continuing Education Courses Revised 05/15/2014 Associate Experience Form This is a Weekly Summary of Hours of Experience form intended for the use of associates and supervisors. This is simply a template—other similar forms are sufficient. Quarter-Semester conversion for associate applicants 1 semester hours = 1.5 quarter hours 2 semester hours = 3.0 quarter hours 3 semester hours = 4.5 quarter hours 4 semester hours = 6.0 quarter hours 5 semester hours = 7.5 quarter hours