輔導服務網上申請表

Counselling application form 輔導服務申請表

  • Counselling Services 所需輔導服務
  • Preferred Counsellor 選擇合適的輔導員
    • Full Name (Male) 姓名 (男)
    • Mobile 手機
    • Email 電郵
    • State 省份
    • Language 語言
    • Religion 信仰
    • Church 教會
    • Full Name (Female) 姓名 (女)
    • Mobile 手機
    • Email 電郵
    • State 省份
    • Language 語言
    • Religion 信仰
    • Church 教會
  • Counselling fee 輔導費用
  • Counselling fee charged by counsellor is about $100 to $150 per session

    輔導員收取輔導費為每次 $100至 $150 (Subsidy is provided by MFFC 資助由「澳洲家新」提供)

  • Subsidy Condition資助條件:

    *Pre-marital counselling 婚前輔導 - Eligibility 資格:One of applicants is Christian 其中一申請人是基督徒

    Details 內容:Subsidize $50 for participating MER within 3 years after married 婚後三年內參加「恩愛夫婦營」可獲 $50資助

    **Marital counselling 婚姻輔導 - Eligibility 資格:Have attended MER or Pastor referral 參加過MER營會或教牧推薦

    Details 內容:Subsidize 50% counselling fee up to $50 per section, max 5 sections 資助50% 輔導費,每次最多$50,最多5次

  • Subsidy 資助
  • Attended MER參加 MER 營會時間:
  • MER Location營會地點:
  • Referral Pastor推薦牧師姓名
  • Additional information 額外資料
  • How did you know about this service 如何得知此服務
  • If others 如其他, please specify 請註明:
  • Terms and Conditions接受輔導服務之條件:

    1.The couple must both come for the service. Once the service terminates, the couple has to re-apply for new service;輔導過程必須兩人一同參加。輔導一經停止,須再另行申請;

    2.MFFC reserves the right to support or decline the sponsorship; 本會有權決定是否贊助此輔導服務;

    3.MFFC reserves the right to terminate this service; 本會有權隨時終止此服務;

    4.The personal information above is only for internal use and will be kept with strict confidentiality;以上資料絕對保密,只供本會紀錄及輔導人員參考;

    5.Please pay the counselling fee to the counsellor directly, MFFC receives no fee for this service.服務收費直接交予輔導員,本會並無收取任何費用。

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