Expression of Interest: Certificate in Family Therapy 2026 (Batch 12)

Thank you for your interest in Graduate Certificate in Family Therapy (2026).

This form is strictly for expression of interest - no payment is required. You will be contacted by trainer via call or email to screen for eligibility. This is important as we aim to have a cohesive and effective deeper learning and practice together as a cohort. Hence, this yearly certificate program has limited seats.

Please note that for interested participant, you are required to write a short essay of interest and to submit your CV whilst registering for interest. No payment is required. You will only need to pay to secure a seat after a confirmation of your participation.

Targeted audience:

Mental health professionals, students, and affiliates across disciplines (counsellors, clinical psychologists, psychiatrists, social workers and MFTs) that works directly with couples.

Fees:
RM5500 per pax
RM500 Rebate for early bird (ends on 31 October 2025).
A deposit of RM1500 is required after interview/confirmation from trainer.

Payment Method: Online transfer/ bank transfer

Type of payment

	Early Bird (ends on 31 October 2025)	Normal rate (ends on 31 December 2025)
Full Amount	RM5000 (discount applied)	RM5500
50-50	RM1500 (Deposit) RM1750 (Pay half) RM1750 (Pay remaining half)	RM1500 (Deposit) RM2000 (Pay half) RM2000 (Pay remaining half)
Installment payment (five times)	RM1500 (Deposit) RM700 x 5 months	RM1500 (Deposit) RM800 x 5 months

Note:
Each payment is due 1st of every month (example, 1st July/ August/ September/ October/ November 2025).

Contact Us: event@andolfi.my or event.andolfi@gmail.com

Terms and Condition:
Andolfi Family Therapy Centre (Malaysia) reserves the right to amend, change, or update any part of the event details—including the program schedule, speakers, venue, policies, and selection of participants—without prior notice, if necessary. All changes will be communicated to registered participants as soon as possible.

No Refund Policy
All payments made for this workshop are non-refundable. However, you may transfer your paid slot to another participant by notifying us via email no later than 21 days before the event. Please ensure you have read and understood the workshop details before registering.

Cancellation Policy
In the unlikely event that the workshop is cancelled by the organizer, a full refund will be issued to the registered participant.

Non-Exchangeable Policy
Workshop fees are strictly non-exchangeable and cannot be transferred to future events or workshops.

Please select your title:*

Name *

First NameLast Name

Email*

example@example.com

Phone Number*

Please enter a valid phone number.

Your occupation/profession*

Your Current Organization / Workplace*

How many years of experience you have working with individual (across ages)?*

How many years of experience you have working with couples/families?*

What is your highest qualification? (Examples: Masters in Counselling, Diploma etc)

What is your current professional license or registration (if any) with any professional body?*

Licensed and Registered Counsellor – Lembaga Kaunselor Malaysia (LKM)Registered Clinical Psychologist – Malaysian Society of Clinical Psychology (MSCP)Psychiatrist - National Specialist Register (NSR)Registered Psychologist – Malaysian Psychological Association (PSIMA)Registered Social Worker – Malaysian Association of Social Workers (MASW)Licensed Lawyer – Malaysian Bar CouncilI do not have any of the aboveOther

Please upload your latest CV (one page/ brief CV is sufficient)*

Write a short paragraph on why you want to join this course. (Approximately 500 words)*

I hereby acknowledge that I may be contacted for a brief call or interview by the trainer to assess my eligibility for participation*

I acknowledge

We use email and also use WhatsApp as our main communication channels to keep connected and discuss necessary arrangements. By acknowledging, you consent to being added to a WhatsApp group/channel to facilitate event-related communication.*

I acknowledge and consent.

Andolfi Family Therapy Centre (Malaysia) reserves the right to decline applications or participation based on eligibility criteria or other considerations, in order to maintain the quality and suitability of the workshop experience*

I acknowledge

I hereby declare that all information I have provided is true and accurate to the best of my knowledge.

Yes, it's all true.

By hitting submit and clicking "yes", you agree to provide the above information and you allow us to contact you either by phone or email on the update of this event. You voluntarily agree to subscribe to Andolfi Family Therapy Centre (AFTC) database to receive AFTC newsletters and any other relevant information about AFTC events or initiatives. You understand that you have given the chance to ask questions before agreeing to this.

Yes, I voluntarily agree with the above and confirm all the information given is accurate. I would like to register for this event.

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