Qualified Therapeutic Touch Teacher (QTTT) Application Form

Application Information

  • Included in this Packet:

    1. Application Form
    2. Biographical Data Form
    3. Sample Evaluation Form
    4. Blank Grid Form
    5. Policy & Procedure for Teacher Mentorshi

    The following Resources are available this website.

    1. Guidelines of Recommended Standard Scope of Practice for Therapeutic Touch.
    2. Therapeutic Touch P&P for Health Professionals.
    3. Code of Ethics for the Practice of Therapeutic Touch.

    One complete copy needed if sent via e-mail or fax.
    Two complete copies needed if sent via post.


    Dear TTIA Member,

    We welcome your interest in becoming recognized by Nurse Healers Professional Associates International/NH-PAI (the credentialing arm of Therapeutic Touch International Association/TTIA) as a Qualified Therapeutic Touch Teacher (QTTT).

    Credentialing provides mutual benefit for you as a teacher and for TTIA and NH-PAI. Through its recognition processes, the members of NH-PAI and the public can be confident that qualified teachers are being referred.

    Upon becoming a Qualified TT Teacher you will also be regarded by NH-PAI, Inc. as a Qualified Therapeutic Touch Mentor as well. Recognition as a QTTT also includes membership in the Therapeutic Touch Teachers Cooperative. Upon being granted QTTT status, your name will be placed on NH-PAI Teachers Referral List and you will be listed on the website.

    A processing fee of $25.00 is required at the time of application. The annual renewal fee for recognition, as a QTTT is $25.00. The period for which your credentialing is valid is (4) four years.

    QTTT peer review process is used to ensure consistency. We look forward to receiving your application. Please allow 4-8 weeks for the peer review process. When we have determined you have met the criteria to be accepted as a QTTT, you will receive an acceptance letter, QTTT card, and information regarding renewal.

    As a QTTT, you will be required to maintain records of all TT programs you participate in and/or teach, along with your students’ evaluations. Please be prepared to list all updating if requested to do so.

    If you have any questions, please contact us through the TTIA office. We will do our best to assist you or find another QTTT who can do so. We will walk you through the process as needed.

    In the Spirit of TT,
    Education Committee


    Application for Recognition as a Qualified Therapeutic Touch Practitioner (QTTP)

    Provide following information and required documents. Arrange documents as indicated. Submit $25.00 application fee (check, money order, VISA or Mastercard accepted); the Application Form; and provide copies for each section as indicated below.

  • This form does not have a SAVE button, so please download the pdf file click here for the form and fill it out manually first. When you are sure you have everything ready, fill it out on-line and hit SUBMIT. We hope this issue will be resolved in the near future.

    Click Here to download a paper copy to complete by mail.

 

Section A

    Biographical Data

  • Primary Education

  • Include basic preparation through highest degree held.
  • Secondary Education

  • Additonal Education

  • I have completed the application as requested, have provided accurate information for this application, and I agree to practice and teach Therapeutic Touch in accordance with NH-PAI Standards and Scope of Practice, Policy and Procedure for Health Professionals and the Code of Ethics of the NH-PAI.
  • Biographica Data Form (cont.)

 

Section B

  • Please send one Certificate of Completion for each of Basic, Intermediate and Advanced. If you no longer have certificates, please list.)
  • List location, instructor, name, and total hours for:
    - (1) Basic (formally called Beginners) Therapeutic Touch (TT) twelve (12) hours
    - (1) Intermediate TT program of fourteen (14) hours
    - (1) Advanced TT programs
  • Basic TT

  • Intermediate TT

  • Advanced TT

  • Advanced TT

  • Advanced TT

  • Advanced TT

  • List of annual updating - please send one Certificate of Completion fro your more recent TT workshop.
  • Workshop 1

  • Workshop 2

  • Workshop 3

  • Workshop 4

  • Workshop 5

 

Section C

 

Section D

  • - Letter of reference from a peer or mentor (QTTT with TTIA membership number) describing the quality of your teaching and how you have contributed to the development of TT.
    - Letter of reference from a student, documenting his/her experience with you.

    Instructions for providing all documentation will be provided at the end of the application.
 

Section E

  • I adhere to the current NH-PAI Teaching Guidelines for each level taught.
  • Initial Levels applying for.

    • Planning-Promotional brochure/flyer for each level applied for.
    • Curriculum content and format in accordance with NH-PAI curriculum guidelines and policy and procedure for continuing education programs. Click here to download form.
      1. To calculate contact hours divide total minutes by sixty (60); do not include breaks
      2. Content needs to be sufficient in detail and appropriate to each objective
      3. Teaching materials need to relate to objectives
      4. Presentation methods should support principles of adult education
    • Evaluations
      1. Include a blank evaluation sample (for each level; click here to download form).
      2. Include a summary of three (3) different TT program evaluations for each level.
 

Signature

 

Verification