Q STATE LICENSURE CHECKLIST The Purpose of this assignment is to become familiar with what will be required for licensure in your state in a four step format that you can keep for reference throughout the program. Utilize the state board resources of AAMFT State by State Licensure Boards to connect to your state’s board. Complete within this form, review the requirements for licensure and complete the following: 1. State and link to Board website: _________________________________ 2. Education Components List your state course requirements, the projected LU equivalent course from the MFT Handbook (or indicate “needed” if you need to find this course and complete it somewhere else) and the number of hours, for each course, required by your state below: Licensure Education Requirement Projected LU Equivalent Course (or indicated “needed”) Hours Required For Example: Human Growth & Development CEFS 502: Human Growth and Development 3 hours Hours Required in Practicum/Internship (prior to graduation) 3. Post-Graduation Requirements Identify and list additional experience, supervision and requirements post-graduation. What are requirements for post-master’s supervised clinical experience: (i.e., number of client contact/relational hours); number of total hours; number of supervision hours; specific requirements of supervisor) What examination(s) are required: What is licensure title: (LMFT, etc. – please write out the full title as well as initials): Is license tiered and if so, what are titles and requirements (e.g., P-LMFT) What is the scope of practice (i.e., what can and cannot be done by a licensed professional): 4. State Regulations Use this section to store the state regulations pertaining to the education and post-graduate requirements for licensure. Cut and paste or create two links (education and post graduate) to the sections on the state board’s website. Save your paper as a Microsoft Word document using your name and assignment title (e.g.: Doe_J_StateLicensure). Submit your assignment by 11:59 p.m. (ET) on Sunday of Module/Week 3