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Appendix - Healing Touch Program

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<strong>Appendix</strong><br />

Level 1 Instructor Certification Application<br />

Level 1 Instructor Application Checklist (continued)<br />

7. Three “Teaching Assistant” Experiences<br />

Self Evaluation form for each “Teaching Assistant” experienced<br />

8. Three “Assistant Instructor” Experiences<br />

Self Evaluation form for each “Assistant Instructor” experienced<br />

Supervising Instructor Evaluation form for each “Assistant Instructor” experienced<br />

Participant Evaluation Summary form, which includes the summary of number<br />

scores and written comments from students<br />

9. One Supervised “Solo Instructor” Experience<br />

Self Evaluation “Solo Instructor” Experience form<br />

Participant Evaluation Summary Form, which includes the summary of number<br />

scores and written comments from students<br />

Supervising Instructor’s Evaluation form<br />

Summary report explaining how you handled ethical, behavioral, group dynamics,<br />

timing and environmental issues<br />

10. Instructor Commitment<br />

Sign and submit the Level 1 Instructor Commitment Statement form<br />

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

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