PHILIPPINE ASSOCIATION FOR COUNSELOR EDUCATION, RESEARCH, AND SUPERVISION (PACERS)
Midyear Workshop
September 10-11, 2009
Waterfront Insular Hotel
Davao City, Philippines

ONLINE PRE-REGISTRATION FORM

Those who submit this pre-registation form and registration fee on or before August 31, 2009 need not line up for registration on September 10, 2009. They may just claim their payment receipts and kits from the Secretariat.



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Family Name First Name Middle Name

Highest Degree Earned School Year

Designation/Position

Level Served/Area of Specialization:
Elementary
High School
College
Counselor Education
Counselor Supervision
Counseling Research

Non-School Setting:
Hospital
Community
Industry
Private Clinic
Others. (Pls. Specify)

Name of Institution
Office Address
Office Phone
Cell phone

Workshops I would like to attend: (Choose 2)

Improving School Counseling Program Through Action Research
Facilitators: Dr. John Addy Garcia & Dr. Rufino Ramos III

Supervising Counselors and Counselor- Trainees
Facilitators: Dr. Leo Capeding & Dr. Julian Montano

Defining and Living One's Counseling Philosophy
Facilitators: Dr. Maria Socorro Eala & Dr. Barbara Wong-Fernandez

Conducting Counseling Program Development
Facilitators: Dr. Benedicta Lascano & Dr. Cristina Saldivar


Payment of (amount in words) (Php) was deposited at (name of bank and branch)on (date) . Thank you.

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