INSTITUTE OF SEXUALITY, MARRIAGE, AND FAMILY LIFE RESEARCH AND TRAINING (iSMART) PROGRAM - OCTOBER 2024 EDITION

Kindly fill this form to register for the SEX THERAPY/COACHING MASTERCLASS.

For any support or assistance kindly WhatsApp 0271467767 (Please do not call this number).

Title: Full Name: Email: WhatsApp Number: Age Range: Level of Education: Marital Status: Profession / Occupation: Are you a Licensed Professional?: If YES, please specify (eg. licensed teacher, licensed counsellor/psychologist): Current Location(eg. Tamale, Northern Region, Ghana): What are your expectations for this training program? How did you know about this training? Would you like to receive certificates at the end of the training?