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ICRT Application for Admission into TLC Program - Page 3Have you ever undergone psychotherapy for emotional or mental reasons?If so, do you feel that the situation was resolved? Are you currently undergoingtreatment?Do you currently have a medical condition, which in any way impairs or limits yourability to practice or teach Reiki with reasonable skill and safety?Are you currently free of disease that could be transmitted by giving or receiving a Reikitreatment?Have you ever been convicted of a felony or a misdemeanor other than a minor trafficviolation? If yes, please explain.I ____________________________ affirm that I have read and understand the guidelinesfor admission into the Licensed Teacher Program at the International Center for ReikiTraining.Upon completion of the requirements to become a Licensed Teacher I agree to and abideby the items listed in the Professional Contract.By signing I agree to the Ethical Standards as outlined. I state my intent and commitmentto uphold the Center’s Purpose and Philosophy in my Reiki Practice and Teaching.Therefore this ________ day of _________ 200__I so affirm by my signature.______________________ _______________________SignaturePrint Name______________________ _______________________Signature of Witness Print Name26 | P age
International Center for Reiki Trainin Licensed Teacher ProgramAPPLICANT’S CONSENT AND RELEASEIn applying for Licensure with the International Center for Reiki Training, I,___________________________ hereby:Authorize the International Center for Reiki Training, their staff andrepresentatives to consult with my prior and current students, teachers, and otherswho may have information bearing on my professional competency, character,health status, ethical qualifications, ability to work cooperatively with others andother qualifications;Consent to the Release of such information;Release from liability the ICRT, its staff and their representative for their actsperformed and statements made in good faith and without malice in connectionwith evaluation of my application, my credentials and my qualifications.I acknowledge that I as an applicant for licensure have the burden of producingadequate information for a proper evaluation of my professional, ethical, andother qualifications and for resolving any doubt about such qualifications.THIS CERTIFIES THAT THE INFORMATION SUBMITTED BY ME IN MYAPPLICATION IS TRUE AND COMPLETE TO THE BEST OF MYKNOWLEDGE AND BELIEF.______________________________ Signature of Applicant______________________________ Name Printed_______________ Date______________________________ Signature of Witness______________________________ Witness Name Printed_______________ Date27 | P age
Page 1 and 2: The International Centerfor Reiki T
Page 3 and 4: About theInternational Center for R
Page 5 and 6: About theReiki MasterTeacher Licens
Page 7 and 8: them a unique gift of being able to
Page 9 and 10: Goals and Purpose of the TLC Progra
Page 11 and 12: Ethical Standards (continued)14. Ed
Page 13 and 14: The Application ProcessAn Overview
Page 15 and 16: Requirements to Fulfill Upon Accept
Page 17 and 18: Requirements to Teach Advanced Leve
Page 19 and 20: Requirements to Maintain Status as
Page 21 and 22: Karuna Reiki® Practitioner Level I
Page 23 and 24: Letter of Intention to Become an IC
Page 25: ICRT Application for Admission into
Page 29 and 30: INTERNATIONAL CENTER FOR REIKI TRAI
Page 31 and 32: International Center for Reiki Trai
Page 37 and 38: Client Review Form for Reiki Sessio
Page 39 and 40: Class Review FormsClass ReviewStude
Page 41 and 42: Advanced Reiki/Reiki Master Class R
Page 43 and 44: Miscellaneous FormsProfessional Con
Page 45 and 46: Reiki Symbol QuizTeachers Name: ___
Page 47 and 48: Reiki Documentation FormClient Name

Download - The International Center for Reiki Training

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