2010 한국사회복지미술치료사협회 자격증 신청양식

한국사회복지미술치료사 협회 자격증 신청관련   <제출서류> 1. 자격증 신청서 (jpg 사진첨부) 2. 교육수료증 사본 3. 워크샆 수료증 사본 (60시간) 4. 졸업증명서 사본 5. 사례보고서 + 임상증명 확인서   6. 자격증 신청비  :  5만원      이영희(우리은행) 1002-338-895224 (입금시 : 신청자명과 동일)   문의전화 :  010-8900-4182 (총무 김경진) / kaas7575<A href="mailto:kaas7575@hanmail.net" target=_blank>@hanmail.net</A>    <TABLE style="BORDER-BOTTOM: medium none; BORDER-LEFT: medium none; BORDER-COLLAPSE: collapse; BORDER-TOP: medium none; BORDER-RIGHT: medium none" border=1 cellSpacing=0 cellPadding=2 width=638 height=969> <TBODY> <TR> <TD style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" height=69 vAlign=center width=514 colSpan=7> 한국사회복지미술치료사 자격증 신청서</TD> <TD style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" height=155 vAlign=center rowSpan=3 width=124 colSpan=2> 사 진 3*4 (반명함 size)</TD></TR> <TR> <TD style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" height=116 vAlign=center rowSpan=3 width=44> 신 청 인</TD> <TD style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" height=50 vAlign=center width=93> 성    명</TD> <TD style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" height=50 vAlign=center width=155 colSpan=2> (한글) (영문)</TD> <TD style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" height=50 vAlign=center width=98> 성    별</TD> <TD style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" height=50 vAlign=center width=122 colSpan=2>  </TD></TR> <TR> <TD style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" height=35 vAlign=center width=93> 생년월일</TD> <TD style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" height=35 vAlign=center width=155 colSpan=2>  </TD> <TD style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" height=35 vAlign=center width=98> 연 락 처</TD> <TD style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" height=35 vAlign=center width=122 colSpan=2>  </TD></TR> <TR> <TD style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" height=30 vAlign=center width=93> 주    소</TD> <TD style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" height=30 vAlign=center width=254 colSpan=3>  </TD> <TD style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" height=30 vAlign=center width=79> 이메일주소 </TD> <TD style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" height=30 vAlign=center width=166 colSpan=3>  </TD></TR> <TR> <TD style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" height=100 vAlign=center rowSpan=3 width=44> 학 력</TD> <TD style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" height=35 vAlign=center width=229 colSpan=2> 최 종 학 교 명</TD> <TD style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" height=35 vAlign=center width=118 colSpan=2> 전공 또는 부전공 학과목</TD> <TD style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" height=35 vAlign=center width=170 colSpan=3> 기    간</TD> <TD style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" height=35 vAlign=center width=76> 비  고</TD></TR> <TR> <TD style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" height=32 vAlign=center width=229 colSpan=2>  </TD> <TD style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" height=32 vAlign=center width=118 colSpan=2>  </TD> <TD style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" height=32 vAlign=center width=170 colSpan=3>  </TD> <TD style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" height=32 vAlign=center width=76>  </TD></TR> <TR> <TD style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" height=32 vAlign=center width=229 colSpan=2>  </TD> <TD style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" height=32 vAlign=center width=118 colSpan=2>  </TD> <TD style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" height=32 vAlign=center width=170 colSpan=3>  </TD> <TD style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" height=32 vAlign=center width=76>  </TD></TR> <TR> <TD style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" height=94 vAlign=center rowSpan=3 width=44> 경 력</TD> <TD style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" height=31 vAlign=center width=229 colSpan=2> 기간(~부터~까지)</TD> <TD style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" height=31 vAlign=center width=118 colSpan=2> 근 무 기 관 명</TD> <TD style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" height=31 vAlign=center width=122 colSpan=2> 근 무 부 서 명</TD> <TD style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" height=31 vAlign=center width=124 colSpan=2> 담 당 업 무</TD></TR> <TR> <TD style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" height=34 vAlign=center width=229 colSpan=2>  </TD> <TD style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" height=34 vAlign=center width=118 colSpan=2>  </TD> <TD style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" height=34 vAlign=center width=122 colSpan=2>  </TD> <TD style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" height=34 vAlign=center width=124 colSpan=2>  </TD></TR> <TR> <TD style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" height=28 vAlign=center width=229 colSpan=2>  </TD> <TD style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" height=28 vAlign=center width=118 colSpan=2>  </TD> <TD style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" height=28 vAlign=center width=122 colSpan=2>  </TD> <TD style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" height=28 vAlign=center width=124 colSpan=2>  </TD></TR> <TR> <TD style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" height=99 vAlign=center rowSpan=3 width=44> 관련 자격증</TD> <TD style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" height=35 vAlign=center width=229 colSpan=2> 기       간</TD> <TD style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" height=35 vAlign=center width=365 colSpan=6> 교육훈련내용(과정)</TD></TR> <TR> <TD style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" height=31 vAlign=center width=229 colSpan=2>  </TD> <TD style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" height=31 vAlign=center width=365 colSpan=6>  </TD></TR> <TR> <TD style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" height=32 vAlign=center width=229 colSpan=2>  </TD> <TD style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" height=32 vAlign=center width=365 colSpan=6>  </TD></TR> <TR> <TD style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" height=36 vAlign=center width=44> 논 문</TD> <TD style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" height=36 vAlign=center width=347 colSpan=4>  </TD> <TD style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" height=36 vAlign=center width=79> 슈퍼바이저</TD> <TD style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" height=36 vAlign=center width=166 colSpan=3>  </TD></TR> <TR> <TD style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" height=162 vAlign=center rowSpan=5 width=44> 워크샵 수료내역</TD> <TD style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" height=29 vAlign=center width=229 colSpan=2> 수 료 시 간</TD> <TD style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" height=29 vAlign=center width=365 colSpan=6> 내        용</TD></TR> <TR> <TD style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" height=33 vAlign=center width=229 colSpan=2>  </TD> <TD style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" height=33 vAlign=center width=365 colSpan=6>  </TD></TR> <TR> <TD style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" height=33 vAlign=center width=229 colSpan=2>  </TD> <TD style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" height=33 vAlign=center width=365 colSpan=6>  </TD></TR> <TR> <TD style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" height=33 vAlign=center width=229 colSpan=2>  </TD> <TD style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" height=33 vAlign=center width=365 colSpan=6>  </TD></TR> <TR> <TD style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" height=33 vAlign=center width=229 colSpan=2>  </TD> <TD style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" height=33 vAlign=center width=365 colSpan=6>  </TD></TR> <TR> <TD style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" height=125 vAlign=center rowSpan=4 width=44> 임 상</TD> <TD style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" height=33 vAlign=center width=229 colSpan=2> 수 료 시 간</TD> <TD style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" height=33 vAlign=center width=365 colSpan=6> 내        용</TD></TR> <TR> <TD style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" height=33 vAlign=center width=229 colSpan=2>  </TD> <TD style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" height=33 vAlign=center width=365 colSpan=6>  </TD></TR> <TR> <TD style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" height=29 vAlign=center width=229 colSpan=2>  </TD> <TD style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" height=29 vAlign=center width=365 colSpan=6>  </TD></TR> <TR> <TD style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" height=29 vAlign=center width=229 colSpan=2>  </TD> <TD style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" height=29 vAlign=center width=365 colSpan=6>  </TD></TR> <TR> <TD style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" height=129 vAlign=center width=638 colSpan=9> 2010 년   월   일   신 청 인 :                  (서명 또는 날인)   한국사회복지미술치료사협회장 귀하</TD></TR> <TR> <TD style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" height=33 vAlign=center width=638 colSpan=9> ※구비서류: 학력 증명서(최종학력), 미술치료수료증, 워크샵수료증, 임상증명서 각 사본 1부</TD></TR></TBODY></TABLE>     <a href='javascript:fileFilterViewer("http://cfile276.uf.daum.net/attach/187D0F034C808E477C4327", "/cfile276/18/7D0F034C808E477C4327", "2010 한국사회복지미술치료사 자격증 신청서.hwp", "grpid%3D1DJp5%26fldid%3DDYJ6%26dataid%3D10%26fileid%3D1%26regdt%3D20100903145814&url=http%3A%2F%2Fcfile276.uf.daum.net%2Fattach%2F187D0F034C808E477C4327")'><img src="https://t1.daumcdn.net/daumtop_deco/icon/icon.hanmail.net/editor/p_hwp_s.gif?rv=1.0.1" border="0" alt="첨부파일" class="vam"/> 2010 한국사회복지미술치료사 자격증 신청서.hwp</a>           한국사회복지미술치료사협회