Professional Documents
Culture Documents
Sponsors: The Befrienders Penang; Family Planning Association Penang; The National
Cancer Society of Malaysia, Penang Branch; Women’s Centre for Change; Women’s
Welfare Council, Penang and Young Women’s Christian Association of Penang
PARTICIPANTS’ REQUIREMENTS
• As the maximum number of participants that can be accepted is 25, please register
early. Places will be on a first come first served basis.
A. PERSONAL DETAILS
Name:
Organisation:
Position in Organisation:
Home Address:
Business Address:
B. VIEWPOINTS
Please give your reasons for wishing to join this course and what you hope to gain from it.
1
Please indicate any activities of voluntary work you have undertaken in the field of counselling:
If your answer to the above is “NONE”, will you consider volunteering your services as a lay
counsellor after successfully taking the course? YES / NO
Please describe your organisation in terms of nature, number of employees and need for lay
counsellors:
Please note: Written answers to all of the questions may be made on separate sheet(s) of
paper if space provided for them are insufficient. Thank you.
C. REGISTRATION / PAYMENT
Please submit this Form together with your payment either by cheque or bank draft crossed
and made payable to the “National Cancer Society of Malaysia, Penang Branch” and send to: