Psychodynamic Psychotherapy in Clinical Practice A 4-day Workshop
Psychodynamic Psychotherapy in Clinical Practice A 4-day Workshop
HKODA would like to sponsor one member of HKODA to attend "Psychodynamic Psychotherapy in Clinical Practice A 4-day Workshop" from 2nd-3rd and 11th-12th January 2014, in Hong Kong. Our sponsorship will cover Registration fee for the nominated delegates. Interested applicants please fill in the application form below and fax to 3747 9862 or Email to “ momokoyu@yahoo.com.hk ”, Exco of HKODA.
Application form for Sponsorship of “Psychodynamic Psychotherapy in Clinical Practice A 4-day Workshop" January 2nd-3rd and 11th - 12th 2014, in Hong Kong.
Name:
Membership Number : ______
1. Sponsored through HKODA with last
36 months ○
24 months ○
12 months ○
Never ○
2. Active contribution in the association. If yes, please specify
3. Specialty professional qualification ____________________________________
4. Experience relevant to criteria. If yes, please specify
5. Academic presentation at the conference. If yes, please specify
