Transfer Interview Checklist - Level 1

Transfer Interview Checklist - Level 1

Student Name:(Please Print)

Last ______First ______MI ____

Address ______

City ______State/Province ______

Zip/Postal Code ______Country ______

Phone ______Email ______

Student has completed Level 1 through:______. Class Dates: ______

Interview Date: ______

Student has reviewed HTP Level 1 Notebook and is familiar with the content.

Student has learned the following Level 1 methods:

 Magnetic Passes:Hands in Motion

 Magnetic Passes: Hands Still

Magnetic Clearing

Sealing a Wound

Chakra Connection (3 forms)

 Headache Techniques

(Tension, Sinus, Migraine, Trauma)

Ultra Sound

Chakra Spread

Laser

Mind Clearing(optional)

Working with a Pain Ridge

Scudder Technique (optional)

Pain Drain

____ Student described energy fields and energy centers as two aspects of the human energy system

that are related to physical, emotional, mental and spiritual health.

____ Student understands the meaning and practice of Centering, Grounding, Attuning and Intention.

____ Student understands the Major Concepts andPrinciples Specifically Taught in Healing Touch

Program Curriculum(published in HTP Notebooks).

____ Student demonstrated understanding of the seven steps of the Basic Healing Touch Sequence.

____ Student demonstrated an understanding of specific energetic interventions used in Level 1

Healing Touch.

____ Student understands basic principles of ethical behavior and scope of practice when applying

Healing Touch with another person.

The student:

Has demonstrated s/he has the knowledge base of Level 1 course work necessary to move

on to HTP Level 2 class work.

Needs further development as describedbelow before progressing to HTP Level 2 class

work through HTP.

Additional Requirements - Level 1

Please outline any additional developmental requirements needed by the student before the transfer may be completed. This sheet should be copied and given to the student for their reference. The original should be sent to HTP with the above checklist once the student has completed the requirements, a second interview has transpired and the instructor has signed indicating the student is ready to move on to HTP Level 2 class work.

Additional action item(s) required for Level 1 transfer completion:

Date of 2ndInterview: ______

The student:

 Has now demonstrated s/he has the knowledge base of Level 1 course work necessary to move on to HTP Level 2 class work.

 Instructor recommends that the student re-take Level 1 through HTP.

Instructor Name: (Please Print) ______

Instructor Signature ______Date ______

Mail this signed form and copies of the students HT class completion certificates to:

HTP 15439 Pebble Gate, San Antonio, TX 78232 or fax to 210-497-8532 or email to

(for office use) Date Transfer Packet received: ______Certificate mailed date: ______