2022-Spring 'Rethinking Relationships' Group Counseling [Zoom]
SNU Center for Campus Life & Culture [SNU CCLC, 대학생활문화원]
http://snucounsel.snu.ac.kr:81/en/main.do
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SNU CCLC is offering an English online group counseling program using ZOOM. Please read the following carefully. (*This is not a social gathering)
Program Introduction & Schedule
Informed Consent Form for the Collection of Personal Information
[Collecting Items] : Name, contact phone number, e-mail address
[Purpose of Collecting Personal Information]
 - To contact and confirm the identification of program applicants
 - To issue various certificates (E.g., Certificate of Completion, Certificate of Participation, etc)
 - To use statistics for gathering information and analyzing the program as well as for developing new programs
(The personal information provided is used for statistics only. Individual data and personal information will not be exposed)
Under the relevant laws and regulations such as 「Information Privacy Law」, I have read the foregoing information, and I consent voluntarily to provide my personal information. *
Do you agree to the followings? *
Yes
[1] I will participate fully for "all 8 weeks". (This is important. Group member absences affects the group's atmosphere, and we would like to ensure that everyone feels safe and has a meaningful time.)
[2] I will answer survey questions (takes about 10~15 min), before and after the program.
[3] During the program, I will "not" audio-record and/or video-record the screen. I know that it may result in civil liability.
[4] I will not share what I have heard in this group to others. I will try keep myself and others safe.
[5] I will participate from a quiet and isolated space to insure that the content of counseling is protected from leaking.
Would you like to participate in our program?  (By clicking yes, you agree to above conditions [1] ~ [5]) If you do not wish to participate, you may close the window. *
First name *
Last name *
Nationality *
Gender *
Phone number(010-0000-0000) *
Student ID (202X-XXXX) *
E-mail address *
Current Status at SNU *
Which group would you like to join? *
Choose all the time slots available.
Required
When are you available on phone? We will call you in order to explain a little bit more about our group before we begin. *
Please tell us about your expectations for this program. *
What prompted you to apply and what do you hope to gain from this program?
Are there any concerns or anything you would like to tell us?
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