EFT Core Skills Training Registration Form
EFT Training Registration Form
Email address *
First Name 名 *
Your answer
Last Name 姓 *
Your answer
Gender 性別 *
Required
Age 年齡 *
Phone Number 電話 *
Your answer
Address 地址 *
Your answer
Occupation 職業 *
Your answer
Agency / Organization / Church 組織/機構/教會 *
Your answer
Reason for attending training 參加課程原因
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,培訓和專業資格或者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. *
Investment in tuition 投資 *
Name of group members 四人組組員姓名
Your answer
Payment 付款 *
Cheque Number and Bank 支票號碼及銀行名稱
Your answer
Please send cheque to: Dr. T.Y. Wong MPC, 2830 Keele St., Suite 402, North York, ONTARIO M3M3E5 Question/comment 問題/意見:
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service