Application Form

Marriage & Family Therapy Clinic: Live Case Demonstration (Summer 2021)

Please fill in the required fields

Personal Information


Name of Applicant *

Work/Home Address

Contact no. *

Fax no.

Email *

AAFT Membership no. (if any)


Highest Degree Acquired *

Year Attained *

Institute *

Profession *


Working Experience

Current Organization *

Position *

Nature of Service *

No.of service in the field

Please indicate the date of session(Since the live case demonstration on 27 Feb is fully-booked, the application of this session has been closed) *

Have you ever attended our live case demonstration sessions before

Reasons for Interest in the Live Case Demonstration


The Way You Learnt About Us


Course Fee: HK$600/session (HK$550/session for AAFT members and participants who enroll in 5 sessions or more) *

If you do not wish to receive any information from us, please tick this box


Personal Data provided in this form will be used for processing your application for registration, academic, administrative and statistical purposes
Under the provisions of the Personal Data (Privacy) Ordinance, applicants have rights to request access to, and to request the correction of, their personal data.