PHUDA

2-day Introductory / Advances Workshop on Motivational Interviewing: sponsorship for member

2-day Introductory / Advances Workshop on Motivational Interviewing

HKODA would like to sponsor one member of HKODA to attend "2-day Introductory / Advances Workshop on Motivational Interviewing" on 2 & 9 April 2016 and 16 & 23 April 2016, in Hong Kong. Our sponsorship will cover registration for both introductory and advanced workshops 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 “2-day Introductory / Advances Workshop on Motivational Interviewing" on 2 & 9 April 2016 and 16 & 23 April 2016, 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: 28th March 2016