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Appendix - Healing Touch Program

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

Level 1 Instructor Certification Application<br />

Applicant’s Name<br />

Supervising Instructor<br />

Class Location<br />

Indicate relevant experience:<br />

Supervising Instructor’s Evaluation<br />

“Assistant Instructor” and “Solo Instructor”<br />

Phone<br />

Dates<br />

“Assistant Instructor” One Two Three<br />

“Solo Instructor” Primary Additional “Solo Instructor”<br />

4=excellent, 3=generally well done/needs minor refinements,<br />

2=acceptable/needs moderate refinement, 1=poor/needs major improvement<br />

Subject<br />

History & Theoretical Basis<br />

Energy System<br />

Presentation<br />

Assessment<br />

Pendulum, Hand Scan<br />

Ethical/Legal Issues<br />

Development of a Practitioner<br />

Importance of Self Care<br />

Basic HT Sequence Overview<br />

Magnetic Passes: HIM, HS<br />

Demonstration<br />

Exchange & Sharing<br />

Magnetic Clearing<br />

Demonstration<br />

Exchange & Sharing<br />

Chakra Connection (2:2, 1:1, Self)<br />

Demonstration<br />

Exchange & Sharing<br />

Time<br />

Mngmt Eval Comments<br />

Pain Management<br />

Ultrasound<br />

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

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