Reconnect: EFT International Trainer’s Clinic Registration Form for Professional Helpers in N.America 心連心事工: 國際情緒取向治療培訓師診所-北美專業助人人士報名表
Theme for New Series of Trainer's Clinics: Building family connection and resiliency amidst physical distancing and anxiety 培訓師診所新系列的主題: 在社交距離和焦慮中建立家庭連結和抗逆力
Watch Dr. Wong and his team working with families devastated by uncertainty, fear, illness and death during the pandemic and helping them build connection, resiliency and security
(For professional helpers only, cases are mostly in English, with some Cantonese)
觀察黃醫生及其團隊輔導在大流行期間面對不確定,恐懼,疾病和死亡的家庭,並幫助他們建立連結,抗逆力和安全感 (為專業助人人士而設, 個案大多是英語,並帶有一些廣東話)
國際情緒取向治療培訓師黃達瑩醫生和他的學生於網上平台，透過個案錄像，即場分享和分析他們在治療師椅子上的思路判斷、心路歷程。在120分鐘內，你可以看見黃醫生和學生如何幫助家庭建立連結和抗逆力、實踐EFT Tango、作為治療師如何經驗過程，你更有機會與身處加拿大的黃醫生即場對話，讓黃醫生即時解答你對學習上的問題。
時間: 2020年9月18日,10月16日,11月20日,12月18日, 2021年1月8日,2月19日,3月19日,4月16日
Sept. 18, Oct. 16, Nov. 20 and Dec. 18 of 2020, Jan. 8, Feb. 19, Mar. 19 and April 16 of 2021  
星期五晚上8時至10時 多倫多時間 (8-10 pm Toronto Time)
晨鳥優惠 Early bird special: 每次(2小時) $45+HST=$50.85, 全套(8次,16小時) $300+HST=$339.00
同一機構或組織的6人或以上的小組 Group of 6 or more from same agency or organization: 每人 $250+13%HST=$282.50 each person
培訓師 Trainer: 黃達瑩醫生 (ICEEFT唯一粵語情緒取向治療國際培訓師) Dr. Tat-Ying Wong (only ICEEFT Certified Cantonese speaking EFT International Trainer)
情緒取向治療追求卓越國際中心(ICEEFT)認證督導及國際培訓師
加拿大多倫多大學醫學博士
美國及加拿大安大略省婚姻及家庭治療協會臨床會員及檢定監督

對象 Target: 採用情緒取向治療的社工、輔導員/治療師、心理學家、醫生、精神科護士、專業助人者等 Those who are interested in applying EFT, including social workers, counsellors / therapists, psychologists, doctors, psy nurses, professional helpers, etc.
模式 Format：網上即時教授(透過Zoom會議系統)，個案錄像觀看，即時個案分析、討論 Online live training (through Zoom), video viewing, live case analysis, discussion, Q&A
報名 Application: 填寫線上報名表，並完成付款步驟，才算完成報名程序 You will need to fill in the online form and complete the payment using Interac eTransfer, in order to complete the application process.

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 *
Last Name:姓(英文) *
First Name:名(英文) *
Telephone Number 聯絡電話 *
Occupation 職業 *
Agency/company/school/institution 機構/公司/學校 *
How did you receive notification about this training 你是如何收到有關此培訓的通知? *
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 and 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). *
Have you been trained in EFT before 曾否修讀情緒取向治療課程? *
Required
Please indicate which Trainer's Clinic sessions you want to participate in 請表示你想參加哪個培訓師診所 *
Required
Investment in tuition for EFT International Trainer's Clinic in CAD 參加國際情緒取向治療培訓師診所的投資(加幣) *
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 and email of helping professional new to EFT that you have invited or person who invited you 已你邀請或邀請你來參加EFT培訓師診所的專業助人人士的姓名和電郵
Total investment (fee per Trainer's Clinic x number of Clinics in CAD) 總投資 (每次培訓師診所的費用 x 診所數量)(加幣) *
Payment Options (Please select one) *
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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