4 Day EFT Externship Registration Form for Helping Professionals, Students and Trainees 4天情緒取向治療專業認証初階培訓報名表(為專業助人人士,其學生及受訓者而設)
Date: October 21-24, 2019 (Mon to Thurs): 9:00 am to 5:00 pm
日期: 2019年 10月21至24日(星期一至星期四): 早上九點到下午五點
地點: 城北華人基督教會, 9670 Bayview Ave., Richmond Hill, ON L4C 9X9 (basement in room D55) www.rhccc.ca
詳情及報名: www.gracehealthcentre.ca/counselling 查詢: efttorontotraining@gmail.com

ICEEFT Certified Training in Emotionally Focused Therapy (required for certification in EFT)
Emotionally Focused Therapy is the only evidence based and validated model that can be seamlessly applied to working with individuals, couples, families and groups. Using the 5 basic moves in the EFT tango, the therapeutic process and macro interventions can be used immediately to create in session change, increased attachment security and a more coherent and integrated sense of self, hallmarks of mental health. EFT is the only approach that works deeply at both an intrapsychic and interpsychic level, transforming both self and system.
情緒取向治療追求卓越國際中心(International Center for Excellence in EFT)認証情緒取向治療培訓 (情緒取向治療認証必須的基礎課程)
情緒取向治療是唯一基於證據和驗證的治療學派,可以無縫地應用於個人,伴侶,家庭以及小組治療. 通過情緒取向治療探戈中的5個基本舞步,可以立即使用治療過程和宏觀技術來促進晤談中的改變,增加依附安全以及更加連貫和整合自我觀感. 這正是心理健康的標誌. 情緒取向治療是唯一針對個人內心和人際之間的治療法,能夠同時更新自我和系統.

Email address *
First Name 名 *
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Last Name 姓 *
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Gender 性別 *
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Age 年齡 *
Phone Number 電話 *
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Address 地址 *
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Occupation 職業 *
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Agency / Organization / Church 組織/機構/教會 *
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Reason for attending training 參加課程原因
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How did you hear about this training 你是如何得知本次培訓?
Name and email of person who referred you if applicable 推薦者的姓名和電郵
Your answer
Language 語言 *
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牧師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. 我同意保密培訓中的案例的個人資料. *
I agree not to record any part of the training (other than written notes for my personal use); neither audio, or audiovisual recordings are allowed to protect confidentiality and respect copyrights. 我同意不記錄培訓的任何部分(除了我個人使用的筆記). 為了保密和尊重版權,不允許錄音或錄影. *
The training will be recorded on video for ICEEFT archive and records. Parts may be used for EFT training if all the participants agree. I agree to having the training recorded for archive purposes and the content may be used for promotion or articles in newsletters (practical tips, questions and answers) with identifying information removed. I acknowledge that I and other participants will need to provide further verbal or written consent in order for certain parts to be used in EFT trainings. 培訓的錄影會成為ICEEFT的記錄. 如果所有參與者都同意,可以將部分用於EFT培訓. 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). 我承認我和其他參與者都需要提供進一步的口頭或書面的同意,才允許在EFT培訓中使用某些部分. *
Investment in tuition 投資 (lowest price in North America 全北美最低收費) *
Comments, explanations or questions 意見,解釋或問題
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Name of group members 四人以上組員姓名
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Payment 付款 *
Cheque Number and Bank 支票號碼及銀行名稱
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Please send cheque to: Dr. T.Y. Wong MPC, 2830 Keele St., Suite 402, North York, ONTARIO M3M3E5 Question/comment 問題/意見:
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