Interpersonal Psychotherapy (IPT) Clinical application in depression and grief and loss

Interpersonal Psychotherapy (IPT) Clinical application in depression and grief and loss
 
HKODA would like to sponsor four members of HKODA to attend "Interpersonal Psychotherapy (IPT) Clinical application in depression and grief and loss" from 21st-22nd February 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  “Interpersonal Psychotherapy (IPT) Clinical application in depression and grief and loss" February 21st-22nd 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
 
Deadline: 18th February 2014


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