EFT Training Registration Form
EFT Training Registration Form
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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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 new person who has never attended EFT training / referring person 從未參加EFT培訓的新人的姓名 / 介紹人 *
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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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A copy of your responses will be emailed to the address you provided.
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