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Membership Committee

Chairperson:
CHAN Shook Yim Sally, MSocSc (Marriage and Family Therapy) (Hong Kong)
Committee Members:
Insoo LEE (Korea)
Lee-Chun LEE (Taiwan)
Noriko NAKAMURA (Japan)
Rosseana WONG (Singapore)
Monica YAU (Hong Kong)
YI Su (China)

(No 4. Pottinger Street)

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Application Form

Basic Certificate Course in Family Therapy
(FALL 2023)

PERSONAL PARTICULARS

Prefix

Mr.

Ms.

Mrs.

Dr.

Prof.

First Name

Last Name

Email

Phone

AAFT Membership No. (if any)

Street Address

City

EDUCATION

Highest Degree Acquired

Year Attained

Awarding Institution

Profession

Other

WORKING EXPERIENCE

Name of Organization

Nature of Service

Current Position

Total no. of years of work experience in current field

Have you attended our Basic Certificate Course in Family Therapy before?

If yes, please provide the year and the season you attended:

How did you hear about us?

Please indicate which TWO live case demonstration sessions you prefer:

August 5, 2023

August 19, 2023

September 2, 2023

September 16, 2023

October 14, 2023

October 21, 2023

Course Fee

Please check this box if you do not wish to receive any information from us.

Thank you! Please click payment to continue the registration process. We'll be in touch.

Payment

Asian Academy of family therapy

No. 4 Pottinger Street, Central, Hong Kong

Tel.: (852) 2859 5300 | Fax: (852) 2559 1813

Email: info@acafamilytherapy.org

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Application Form

Basic Certificate Course in Family Therapy (FALL 2023)

PERSONAL PARTICULARS

EDUCATION

WORKING EXPERIENCE

Basic Certificate Course in Family Therapy
(FALL 2023)