PENANG COUNSELLING GROUP

Sponsors:

The Befrienders Penang; Penang Family Health Development Association;The National Cancer Society of Malaysia, Penang Branch; Women’s Centre for Change;Women’s Welfare Council, Penang; Penang Association of Counselling & Psychology andYoung Women’s Christian Association of Penang

COUNSELLING COURSE 2012

PARTICIPANTS’ REQUIREMENTS

•

Any person who is interested in acquiring basic counselling skills.

•

Course participants have to be proficient in English as course instructions,notes and reading assignments as well as stipulated written reports andexamination will be in English.

•

Participants from NGOs have to be nominated by their respectiveorganisations.

•

As the maximum number of participants that can be accepted is 25, pleaseregister early. Places will be on a first-come-first-served basis.

Course Fees:

The course fee is RM250.00.We look forward to your support and participation. Thank you.For further enquiries, please contact:PENANG COUNSELLING GROUPc/o National Cancer Society of Malaysia,(Penang Branch)250A Jalan Air Itam10460 Penang Tel: 04-228 4140Fax: 04-226 4676Email:ncsmpg@gmail.com

PENANG COUNSELLING GROUP

COUNSELLING COURSE 2012

Registration Form

For office use:

Application No:........................... Receipt No:.........................Payment Cash/Cheque……………………………………….... Date accepted:….................

A. PERSONAL DETAILS

Name:

I/C No: (Old) Sex: - Choose one -I/C No: (New):Date of Birth: Profession:

[e.g. 01-Jan-90]

Organisation:Position in Organisation:Home Address:Postcode: State:Business Address:Postcode: State:Tel No.: (O) 0

- (H) 0

Handphone: 0

Fax No.: 0

-Email:

B. VIEWPOINTS

Please give your reasons for wishing to join this course and what you hope to gainfrom it.