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Appendix - Healing Touch Program

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Level 1 Instructor Certification Application<br />

2. Complete and include the Participant Evaluation Summary form for “Solo Instructor”<br />

experience. (Do not submit individual evaluations.) Include numerical summaries and<br />

narrative comments. (See <strong>Appendix</strong>)<br />

3. Include Supervising Instructor’s Evaluation form. ( See <strong>Appendix</strong>)<br />

4. Include a summary report explaining how you handled ethical, clinical, behavioral or<br />

timing issues, as well as coordinator and environmental issues.<br />

Note: If the “Solo Instructor” experience is unsatisfactory, an additional satisfactory<br />

supervised experience will be necessary to meet certification requirements.<br />

10. Instructor Commitment<br />

Requirement:<br />

The Applicant must review and follow the <strong>Healing</strong> <strong>Touch</strong> <strong>Program</strong> Instructor Guiding<br />

Principles.<br />

Submission Guidelines:<br />

Sign and submit Level 1 Instructor Commitment Statement form. (See <strong>Appendix</strong>)<br />

© Copyright 2008 <strong>Healing</strong> <strong>Touch</strong> <strong>Program</strong> HTP-930 03.26.08<br />

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