Sponsorship for One-day Workshop on Psychotherapy: New Waves of Psychotherapy: Old Wine in a New Bottle
HKODA would like to sponsor 1 members of HKODA to attend "One-day Workshop on Psychotherapy: New Waves of Psychotherapy: Old Wine in a New Bottle" on 16th June 2012, 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 “One-day Workshop on Psychotherapy: New Waves of Psychotherapy: Old Wine in a New Bottle" June 16th 2012, 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
