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Enrollment procedure for Practitioner Training
1) Please request a pre-enrollment info pack.
2) Once you have had a chance to go over that, please request a pre-enrollment interview. These are conducted via a virtual meeting service.
3) After a successful interview, we may then ask you to provide the following enrollment information in full
and submit it by the cut-off
date. Responses are required to all questions except
where indicated as “optional”.
Provide
the information in the body of an email
to Energy Therapies Institute
OR download the PDF
Enrolment Form , then scan and email it back to us (or snailmail, a completed hard copy
to PO Box, 971, Stephens City, VA 22655, USA). Choose
the snailmail option if you are not comfortable emailing your
enrollment. Participants
in Australia, please follow the payment
guidelines online.
All
information submitted is kept confidential
by Energy Therapies Institute except for legal exclusions
or requirements specified by the Privacy Acts of the
relevant jurisdictions. CLICK
HERE for additional info about Enrollment Procedures
COURSE
(Its name & level)
COURSE/
MODULE DATE & LOCATION
YOUR NAME
AND...
ADDRESS
PHONE -
Please provide at least one number where you can be
reached.
Home
Work
Mobile
EMAIL
WEBSITE/S
QUALIFICATIONS
EMERGENCY
CONTACT AND NUMBER - i.e.
who do we contact in the event of an emergency affecting
you during training?
REASONS
FOR WISHING TO UNDERTAKE THIS TRAINING. What do you
hope to achieve from this course?
PRIOR
STUDY OR EXPERIENCE IN ALTERNATIVE HEALTH THERAPIES
OF HEALTH CARE. What, if any, courses have you taken
in Alternative Health Therapies?
PRIOR MOVEMENT
EXPERIENCE (e.g. Tai Chi, Yoga, Pilates, Dance etc.
Please specify type - e.g. "Hatha Yoga"; "Ching
Chun Tai Chi".)
IS THERE
ANYTHING THAT COULD AFFECT YOUR PARTICIPATION IN THE
LEARNING PROGRAMME YOU HAVE SELECTED, INCLUDING ANY
MEDICAL CONDITIONS? PLEASE SPECIFY.
HAVE YOU
EXPERIENCED ACCIDENT/S, TRAUMA, and/ or SURGERIES?
DO YOU
HAVE A SPIRITUAL PRACTICE (Optional. This question is
asked because having a meditation or spiritual practice
is an important resource for Energy Therapy Practitioners.)
DESCRIBE
ANY PERSONAL GROWTH EXPERIENCE OR TRAINING THAT YOU
HAVE HAD, e.g. seeing a therapist/ psychologist/ counsellor;
personal growth or psychological workshops/ training;
attending personal growth retreats or centers etc. (This
type of experience or training can be very helpful in
working as a Practitioner.)
HAVE YOU EVER BEEN
OR ARE YOU CURRENTLY UNDER THE CARE OF A PSYCHOLOGIST
OR PSYCHIATRIST? Please specify.
HAVE YOU EVER OR
ARE YOU CURRENTLY TAKING PRESCRIPTION ANTI-DEPRESSANTS,
PSYCHOTROPIC MEDICATIONS OR SIMILAR? Please specify.
HAVE YOU EVER BEEN
TREATED FOR SUBSTANCE ABUSE - e.g. alcohol, recreational
drugs, street drugs?
HAVE YOU EVER BEEN
CONVICTED OF A FELONY?
DO YOU HAVE ANY
DIETARY RESTRICTIONS?
HOW DID YOU HEAR
ABOUT ENERGY THERAPIES INSTITUTE?
HELP US TO GET TO
KNOW YOU: IS THERE ANYTHING ELSE YOU WOULD LIKE TO TELL
US ABOUT YOURSELF? (Optional.)
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