CONTINUING EDUCATION APPLICATION FORM

1. Sponsoring Organization: International Center for Reiki Training(ICRT)

2. Title of Program: Usui/Tibetan ART/Master Teacher

3. Date(s) of Each Session: Ongoing – Two day class

4. Location: Various locations throughout the United States

5. Seeking credit for:

(x) Psychologists

(x) Social Workers

(x) Nurses

(x) Marriage & Family Therapists

( ) Drug & Alcohol Abuse Counselors

( ) Dietitians

6. Course Description-Which topics will be discussed?

Day One

  1. Use of Crystals and the Reiki Grid
  2. Usui Master Symbol
  3. Advanced Reiki attunement and process
  4. Reiki Moving Meditation
  5. Aura Clearing Technique
  6. Reiki Symbol Meditation

Day Two

  1. Usui and Tibetan systems of Reiki
  2. Attunement exercise – Hui Yin
  3. Tibetan Reiki symbols and their uses
  4. Reiki Master attunement
  5. Violet Breath
  6. How to do a healing attunement

Day Three

  1. Reiki II attunement
  2. Values and spiritual orientation of a Reiki Master
  3. ICRT philosophy and purpose

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Cont’

  1. Advanced Reiki (ART) attunement
  2. Reiki Master attunement
  3. Other attunement methods
  4. ICRT Licensed Reiki Master Teacher (LRMT) program

7. Course Objectives-What are the teaching goals?

Day One

  1. Discuss use of crystals and the Reiki Grid
  2. Discuss the Usui Master Symbol
  3. Discuss, administer, and demonstrate Advanced Reiki attunement and process
  4. Discuss, demonstrate, and practice the Reiki Moving Meditation
  5. Discuss, demonstrate, and practice Aura Clearing Technique
  6. Discuss and practice the Reiki Symbol Meditation

Day Two

  1. Discuss Usui and Tibetan systems of Reiki
  2. Discuss and practice attunement exercise – Hui Yin
  3. Discuss Tibetan Reiki symbols and their uses
  4. Discuss, demonstrate, and practice Reiki Master attunement
  5. Discuss, demonstrate, and practice Violet Breath
  6. Discuss, demonstrate, and practice how to do a healing attunement

Day Three

  1. Discuss, demonstrate, and practice Reiki II attunement
  2. Discuss values and spiritual orientation of a Reiki Master
  3. Discuss ICRT philosophy and purpose
  4. Discuss, demonstrate, and practice Advanced Reiki (ART) attunement
  5. Discuss, demonstrate, and practice Reiki Master attunement
  6. Discuss other attunement methods
  7. Discuss ICRT Licensed Reiki Master Teacher (LRMT) program

Instructional Methodology

(x) Lecture ( ) Case Presentation

(x) Other (Specify) Interactive exercises, and hands on practice

( ) Audio/Visual ( ) Discussion Groups ( ) On-line presentation

8. Attach a blank copy of the Evaluation Form to each application. Attached

9. Provide no less than three (3) books or articles of reference from the bibliography to be distributed. Attached p. 6

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10. Fill in the exact schedule and the total of only instructional hours (exclude registration, lunch, coffee breaks, etc.) on the grid to the right. If the schedule is repeated more than one day, indicate the dates in the second column. If the total of instructional hours (in the box) includes a fraction under ½ omit that fraction.

Time of Each Session / Date / Instructional Hours
Begin time: 9:30 a.m.
End time: 6 p.m. / DayOne / 6.25
Begin time: 9:30 a.m.
End time: 6 p.m. / Day Two / 6.25
TOTAL instructional hours / 12.5

11. Instructor’s Qualifications. Attach resumes when you are seeking Psychologists approval.

Laurelle Gaia

Reiki I practitioner – 1988 AIRA-American International Reiki Assoc.

Reiki I & II practitioner – 1989 ICRT International Center for Reiki Training, Southfield, MI

Usui Tibetan Reiki Master – 1992-ICRT International Center for Reiki Training, Southfield, MI

Karuna Reiki Master – 1995 ICRT International Center for Reiki Training, Southfield, MI

Advanced Crystal Healer – 2002 Crystal Academy, Kauai, HI

Sound Healer – 2009 – Sound Healer’s Assoc. Jonathan Goldman, Boulder, CO

Master of Crystalography – 2011 – NAOMCHI

Mt Mercy College – 1974 – Cedar Rapids, IA

Person Responsible for program:

Name: Laurelle Gaia Phone: 928-274-0173 (cell)

Mailing Address: 355 Jordan Road, Sedona, AZ 86336

Person to contact to clarify or give information:

Name: Laurelle Gaia

Phone: 928-274-0173 (cell)

Email: Fax: 309-401-6282

Commonwealth Educational Seminars

PROGRAM EVALUATION

Please help us gauge the effectiveness of this seminar and plan for future offerings by answering the following questions as completely as possible:

Student Name: ______

My profession:

CEs Needed for: / License #
Nurse
Social Worker
Marriage/Family Counselor
NONE NEEDED / N/A

Seminar Title: Master Teacher Training

Location:

Date(s):

Instructor:

Sponsor: International Center for Reiki Training(ICRT)

Please rate the effectiveness of this continuing education activity.

5=Excellent 4=Very good 3=Good 2=Fair 1=Poor

Please rate the following: / 5 / 4 / 3 / 2 / 1
The extent to which the learner objectives were achieved:
Day One:
  1. Discuss use of crystals and the Reiki Grid

  1. Discuss the Usui Master Symbol

  1. Discuss, administer, and demonstrate Advanced Reiki attunement and process

  1. Discuss, demonstrate, and practice the Reiki Moving Meditation

  1. Discuss, demonstrate, and practice Aura Clearing Technique

  1. Discuss and practice the Reiki Symbol Meditation

  1. Discuss class experiences and evaluate class

Day Two:
  1. Discuss Usui and Tibetan systems of Reiki

  1. Discuss and practice attunement exercise – Hui Yin

  1. Discuss Tibetan Reiki symbols and their uses

  1. Discuss and demonstrate Reiki Master attunement

  1. Discuss and demonstrate Violet Breath

  1. Discuss and demonstrate how to do a healing attunement

Please rate the following: / 5 / 4 / 3 / 2 / 1
Day Three:
  1. Discuss, demonstrate, and practice Reiki II attunement

  1. Discuss values and spiritual orientation of a Reiki Master

  1. Discuss ICRT philosophy and purpose

  1. Discuss, demonstrate, and practice Advanced Reiki (ART) attunement

  1. Discuss, demonstrate, and practice Reiki Master attunement

  1. Discuss other attunement methods

  1. Discuss class experiences and evaluate class

Please rate the effectiveness of this continuing education activity.

5=Excellent 4=Very good 3=Good 2=Fair 1=Poor

Please rate the following: / 5 / 4 / 3 / 2 / 1
Content:
  1. Clear and easy to grasp concepts

  1. Adhered to stated objectives

  1. Met my expectations and needs

Instructor:
  1. Exhibited knowledge of subject

  1. Clear and concise presentation

Teaching Methods:
  1. Appropriate and effective for subject

  1. Provided for adequate feedback from attendees

Facilities:
  1. Access, room layout, facilities where appropriate

Other comments:

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Bibliography & Suggested Reading

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