1.     What are the enrollment requirements and prerequisites?

  • You must be at least 18 years of age before the class start date
  • Completion of a minimum of high school or GED (transcripts required)
    • College transcripts may be submitted in place of high school transcripts
  • Health care provider CPR

2.     Do you accept home-school transcripts?

  • Yes

3.     Can I take an on-line CPR for health care provider course?

4.     I have my CPR class scheduled (or I don’t have my card yet); can I send my application in without the proof of CPR so that I don’t miss the enrollment deadline?

  • Yes, although the enrollment process cannot be completed until a copy of your CPR card is received by the office. The card can be scanned and emailed or faxed to the office once you receive it.

5.     Do I need a preceptor before enrolling in the program?

  • No, but you should make sure there are ATMMTP preceptors or midwives eligible and willing to become preceptors in your area.  Otherwise you may have to relocate to complete the required clinical training.

6.     Do I need any particular college/nursing courses, such as anatomy & physiology, before enrolling?

  • No. While certain college courses may be helpful for some students, the ATMMTP includes all courses necessary to qualify the student to sit for the licensing exam.

7.     What happens if I miss a deadline for enrollment?

  • You must wait until the next class begins enrolling before your application will be processed and you can begin your studies.

8.     Is there a class size limit?

  • Yes, classes are limited to 20 students. If the class is full you may elect to be put on a waiting list in case of a withdrawal prior to the class start date, or you may have your application held until the next class begins enrolling. Note that if you choose to withdraw your application due to the closed class both application fee and tuition are refundable.

9.     Should I mail my application “certified mail”?

  • NO! Applications must be emailed per instructions. Supporting documents that must be mailed should be done so according to instructions in the application packet. Do not mail certified. Since mail is often picked up after hours, sending it certified can mean a delay of several days in the receipt and processing of the application documents, or may even cause  your packet to be returned to you  unopened. We suggest sending it by priority mail, no signature required. You will be able to track your package using your postal receipt.

  • Note: all instructions for submitting an application must be followed exactly. If not, you will be notified that your application cannot be accepted until it is sent correctly.

10.  What happens once I send my application in?

  • As soon as your application is received you will be notified via email. This allows the ATMMTP to verify an accurate email address and to let you know your application has been received and what to expect. An "enrollment pathway" is included in the application packet.

Academic Program

1.     Do you have a school or classroom that I must attend, or is the program completed from my home?

  • The only classroom hours are the end-of-module workshops, which last 2 or 3 days, depending on the workshop.  The rest of the academics are completed from your home.

2.     How long does each module last?

  • The length of each module may be different, but average about 18 weeks. They range from 12 weeks to 22 weeks in length, with module 2, Anatomy & Physiology the longest at 22 weeks and module 8, Advanced Skills only 12 weeks.

3.     How many hours will I need to study?

Study time will vary based on:

  • The module
  • Student aptitude
  • Student study skills

Students should plan on dedicating at least 10 – 24 hours weekly to study and completion of assignments throughout the program.  Most students spend more time studying and completing assignments during the early part of the program than later when study skills have improved and knowledge is increased, even though assignments may become more detailed and comprehensive.

4.     Do I complete the academic portion of the program before beginning my clinical training?

  • No. The ATMMTP strongly recommends students not begin an apprenticeship until they have completed the second module, but students must be in an apprenticeship no later than the 5th module.

5.     Can I finish the academic portion of the program any faster than scheduled?

  • Not by much. Each module, including the end-of-module workshop, must be completed in order and the exam passed prior to advancing to the subsequent module. The only exception to this is module 8. Module 8 may be taken anytime after completion of the third module.

 6.       I'm shopping for a new computer; should I get a PC or a Mac?

  • Get a PC. All assignments and media used in the ATMMTP are in Microsoft software. While you can get a Mac to work for most things, it will not work for everything. If you use a Mac you will have to purchase Microsoft Office compatible software, which is available. Note that free word processing software such as Open Office is not compatible with our assignments and forms. Converting from Open Office to Word will removes formatting, tables, and often information. Students must have Microsoft Word software.

Clinical Training

1.     How do I find a preceptor?

  • The ATMMTP maintains a list of preceptors which can be provided to students.

2.     What if the midwife I want to apprentice with is not an ATM approved preceptor?

  • She can apply to become an ATMMTP approved preceptor. Eligibility requirements are the same as those of the North American Registry of Midwives. Associate membership in ATM is also required.

3.     Do I complete the academic portion of the program before beginning my clinical training?

  • No. The ATMMTP strongly recommends students not begin an apprenticeship until they have completed the second module, but students must be in an apprenticeship no later than the 5thmodule.

4.     How long does an apprenticeship last?

  • The length of an apprenticeship will vary based on how busy of a practice the preceptor has. The minimum time is 24 months. Most Texas students can complete clinical requirements within 2 – 3 years.

5.     Can I apprentice with more than one midwife?

  • Yes, apprenticing with more than one midwife is very beneficial to the student’s education. However, it is recommended that students do not attempt to apprentice with more than one preceptor in the early stages of training. Apprenticing with more than one midwife concurrently requires a great deal of cooperation between all parties.


1.     Is financial aid available?

  • No. Because the ATMMTP approval is through the Texas Dept. of Licensing and Regulation  and not an education agency, it does not qualify for education loans or grants.

2.     Does ATM offer any payment plans?

  • Yes. Tuition may be paid by the module rather than all at once.

3.     Does ATM offer any scholarships?

  • Yes; see the “Scholarship” page for more information


1.     Can I work full time during while in the program?

  • Probably not. It may be possible to work prior to beginning clinical training (apprenticeship), but most employers quickly lose patience when you miss work repeatedly due to births. Most preceptors will expect you to be on-call 24/7.

2.     Do I have to live in Texas to enroll in the program?

  • No, but to graduate and take the NARM exam as a Texas Agency Candidate (which can be done from any state offering the exam) you must meet the same requirements as Texas students. This includes attending workshops and all clinical requirements.

3.     Midwives are illegal where I live. Can I still complete the program?

  • Probably not, unless you are willing to move to obtain your clinical training. All preceptors must be practicing legally.

4.     I have a nursing baby; can I bring her/him to the workshops?

  • No. Babies may be brought to nurse during breaks and lunch, but not during class. They are far too cute and distracting!

5.     I’ve already had college Anatomy & Physiology; can I get credit for that and skip module 2?

  • No, the current midwifery education rules require all graduation requirements be met as part of the program. Additionally, the ATMMTP Anatomy & Physiology module has a very heavy focus on reproduction.  It includes more in-depth coverage of topics such as the effects of pregnancy on the entire body, embryology and fetal development. These are subjects not fully covered in college A & P.

6.     I’ve already attended some births with a midwife; can I count those towards my graduation requirements?

  • No, all requirements must be met during enrollment in the ATMMTP.

7.     If I graduate from the ATMMTP will I have to apply to NARM for the CPM credential via the Portfolio Evaluation Process (PEP) “Entry Level” application?

  • No. Graduates of the ATMMTP apply to take the NARM exam as a “Texas Agency Candidate”. Upon successful completion the graduate can apply for the Texas midwifery license. She/he may then apply for the CPM credential with NARM as a  “Licensed Midwife in an Approved State”


1.     Where can I work once I have my Texas midwifery license?

  • In Texas, a licensed midwife may have a private, independent midwifery practice and attend births at home or in birth centers.
  • Licensed midwives may own and operate licensed birth centers

2.     How much money does a licensed midwife make?

That will depend on a number of factors:

  • Where you live: what is the “going rate” for midwifery care in your area?
  • Will you work in or own a birth center?
  • Will you start your own private, home birth practice?
  • Experience: if beginning your own private practice expect it to take some time to build a practice.
  • How busy do you want to be?
  • Most licensed midwives in Texas charge from $3000.00 - $5000.00 per client/birth for home births; fees may be higher in birth centers.
  • Licensed midwives who work out of their home vs. renting office space will have fewer out-of-pocket expenses.
  • The demand for birth centers and midwives who work in birth centers is much greater than the demand for home birth midwives.

3.     Do insurance companies cover licensed midwives?

  • Most do, but typically only “out-of-network” coverage

4.     Are licensed midwives required to have malpractice insurance?

  • No

5.     Is the Texas license recognized in other states?

  • Midwifery regulations vary significantly in every state. Generally, it is the CPM credential that is recognized since regulating agencies will be more familiar with NARM minimum requirements for certification, and many states use the NARM exam as their state exam.
  • Direct-entry midwifery is still illegal in a few states.
  • For more information on midwifery state-by-state see MANA.

Contact Details

Association of Texas Midwives

P.O.Box 887 Elmendorf, TX 78112

Tel: 432-664-8815

Email:  ATMOffice@texasmidwives.com


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