ICEEFT certified Online Cantonese Emotionally Focused Family Therapy Level 1 Training Registration Form 情緒取向治療追求卓越國際中心認證粵語情緒取向家庭治療初階線上培訓報名表
ICEEFT certified Online Emotionally Focused Family Therapy Level 1 Training (in Cantonese with participants from Hong Kong and Asia, total of 12 hours)
情緒取向治療追求卓越國際中心認證粵語情緒取向家庭治療初階線上培訓
Date: September 17, 19, 24, 26, 2020 日期: 2020年 九月17,19,24,26日
Time: Thursday and Saturday: 7:30-10:30 am (Toronto Time), 7:30-10:30 pm (Hong Kong Time)
時間: 星期四/六: 早上 7:30-10:30 (多倫多時間), 晚上 7:30-10:30 (香港時間)
Information for North American Participants: www.gracehealthcentre.ca/counselling (under what's new)
Enquiry/ Contact: efttorontotraining@gmail.com
Information and registration of Asian participants: www.hkreconnect.org.hk

機構使用個人資料聲明：1.閣下的個人資料(包括姓名、聯絡資料及其他相關資料),只會用作簽發收據、提供資訊(包括消息通訊、活動、服務、講座或訓練課程推廣)、義工招募及收集意見等之用途。2.有關資料受到嚴格保密。3.本診所收集之個人資料,除作上述用途之外,將不會以任何形式出售、租借及轉讓予任何人士或組織。如有疑問,請與本診所聯絡。Declaration of use of personal data: (1) Your information (including name, contact information and other related information), will only be used for the purposes of issuing receipts, communications (including promotion of our clinic’s news, events, talks or trainings), recruiting volunteers and conducting surveys for us. (2) Your relevant information will be kept strictly confidential. (3) Apart from the above purposes, your personal data being collected will not be sold, rented or traded in any form through any means to any other parties.
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Email *
First Name 名 *
Last Name 姓 *
Gender 性別 *
Required
Age 年齡 *
Phone Number 電話 *
Address 地址 *
Occupation 職業 *
Agency / Organization / Church 組織/機構/教會 *
Reason for attending training 參加課程原因
Language that you understand 你明白的語言 *
Required
I have the educational training, qualifications, and professional credentials to practice as a mental health professional or pastoral counsellor or I am in a training program or supervised practice to become a mental health professional or pastoral counsellor. 我擁有心理健康專業人士或教牧輔導的教育,培訓和專業資格或我在成為心理健康專業人士或教牧輔導的培訓計劃或督導過程中. *
I agree to keep confidential the personal identifying information of case material shared in the training and not to copy, record, store, reproduce or share any part of the training. 我同意保密培訓案例中的個人資料以及不複制,錄影,儲存或分享培訓的任何部分. *
The training will be recorded on video for ICEEFT trainings, archive and records.   I agree to having the training recorded for archive and training purposes and the content may be used for promotion or articles in newsletters (practical tips, questions and answers) with identifying information removed. 培訓的錄影會成為ICEEFT的記錄和培訓資源. 我同意讓培訓的錄影作ICEEFT的記錄,並且刪除個人資料後,內容可用於EFT推廣或通訊中(實用技巧,問題解答,個案分析). *
Investment in tuition for ICEEFT certified Emotionally Focused Family Therapy Level 1 Training  (fees in CAD)參加情緒取向治療追求卓越國際中心認證粵語情緒取向家庭治療初階線上培訓的投資 (加幣) *
Required
Name and email address of your group members in your agency or organization if applying for group rate  如果申請小組優惠,請列出機構或組織中的成員的姓名和電郵
Name of related online self-study course completed and amount of  scholarship 完成在線自學相關課程的名稱和獎學金金額
Total investment (total tuition from above minus scholarship in CAD) 總投資(總費用減獎學金,加幣) *
Payment 付款 *
Cheque Number and Bank or password for Interac eTransfer 支票號碼及銀行名稱或電子轉賬密碼
Please send cheque to: Dr. T.Y. Wong MPC, 2830 Keele St., Suite 402, North York, ONTARIO M3M3E5     Question/comment 問題/意見:
A copy of your responses will be emailed to the address you provided.
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