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Appendix - Healing Touch Program

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

Level 1 Instructor Certification Application<br />

Self Evaluation<br />

“Teaching Assistant” and “Assistant Instructor” Experience<br />

(Make copies as needed)<br />

Name<br />

Class Location<br />

Dates<br />

Supervising Instructor<br />

Phone<br />

Indicate relevant experience:<br />

“Teaching Assistant” Experience: One Two Three<br />

“Assistant Instructor” Experience: One Two Three<br />

1. Your strengths and self progression:<br />

2. Your opportunities for continued growth and your goals/plans:<br />

3. The overall value of your experience:<br />

4. What would you change in your next teaching experience<br />

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

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