IACMSP国际华人医学家心理学家联合会

International Association of Chinese Medical Specialists & Psychologists

灾害心理援助和性健康教育资料翻译志愿者登记表

填表日期：            年            月            日（请附上个人登记照片）

姓名                                                      (英文拼写)                                                    

性别                    出生日期                    年                  月                日                  出身地（市）                  国籍                

专业                                                 最高学历                                                 职务（职称）                                               

工作机构及通讯地址                                                                                                                                                               

电话（办）                                                 电话（家  ）                                               手机                                               

传真                                                 E-mail                                                                                            

选择翻译文字：英文（    ）    其他文字（                ）

个人简历：

愿意承担的翻译资料：

（    ）灾害心理援助文字资料，                        （    ）灾害心理援助音像资料；

（    ）性健康教育及艾滋病防治文字资料，    （    ）性健康教育及艾滋病防治音像资料，

（以下由IACMSP常务理事会填写）

常务理事会意见                                                                                                                                                                  

理事长签字                                                                       

Tel:718-820-9320; 917-402-7176 (Dr. Deng); 201-210-2183(Dr. Li).

Web: www.iacmsp.org    E-mail: iacmsp@gmail.com / millerdeng@yahoo.com.cn