Application for EFT Certification

Reminder: You must have completed EFT Level 1 & 2 before applying for Academy certification.

Name: *

Today's Date*

Email address*

Address*

City

State or Province

Zip Code

Country

Date of Birth: *

Emergency Contact: name and phone number:*

Website (if you have one):

Academy trainer for EFT Levels 1 & 2:*

Previous EFT experience or training if any:

Relevant educational or work background:

Professional licensure, degrees or certifications if any:

Why would you like to become EFT Certified?*

Certification Agreement

Students must attend EFT Level 1 & 2 Workshops with an Academy trainer (please initial below)*

Log 50 EFT Sessions with clients using our sessions form, with notes to bring to consultation. All sessions must be one hour or longer and may include Hacking Reality. The 50 sessions must include a minimum of 30 different clients. At least 15 sessions must be with "real" clients (not friends, family or swaps). Group sessions don’t count. An informed consent form must be offered and signed by all "real" clients. You may charge for sessions or not, but charging is encouraged. (please initial below) *

Academy Clinic. Our on-line Clinic provides a source for “real” clients via Zoom, Facetime or phone. To qualify you’ll need to have completed EFT Levels 1 & 2 and carry liability insurance (see below). Participation is optional and there is no extra charge to sign up. (please initial below)*

Ethics Requirement. Read the book Creating Healing Relationships—Professional Standards for Energy Therapy by Dorothea Hover-Kramer, and pass the online exam. This requirement is waived for licensed therapists and social workers. (please initial below)*

Personal Work. We require our students to log at least 15 EFT sessions as a client. Sessions may include Hacking Reality and should be an hour or longer. You are welcome to do any or all of these sessions with swap partners if you wish. (please initial below)*

Consultations. We require 3 private and 3 group consultations with the director, Rob Nelson. Students are responsible for logging these sessions, and spacing them out while completing the 50 client sessions. All consultations are via Zoom. You may do as many group calls as you like, even after certification. (please initial below)*

Two Recorded Session Evaluations. Students must record and submit two Zoom sessions for evaluation with permission from the client or swap partner. Submit the first recording around the 15th session logged and the second recording after the 30th. Demo sessions should be one hour and may include HR work. Written feedback will be provided after review. (please initial below)*

Liability Insurance. We recommend that coverage begin when you start logging sessions. It’s required to participate in the Academy Clinic and to take the final exam. If you are not already covered, we recommend www.energymedicineprofessionalinsurance.com (please initial below)*

Online final exam. Having completed all other requirements, students must take and pass an open-book, online exam. (please initial below)*

Timeline. Students are expected to complete these requirements within 12 months. After 12 months students must pay a 6-month continuation fee of $100, or else be placed on suspended status. (please initial below) *

Excellence. Our program is designed to help students acquire and develop specific skills, knowledge and treatment strategies to effectively use EFT with clients for a wide range of issues. In other words, to be REALLY good. Merely jumping through the hoops, however, does NOT guarantee certification. If problems are noted during consultations, or recorded session evaluations, they must be addressed and corrected by the candidate. Rob Nelson and Tapping the Matrix Academy reserve the right to terminate certification enrollment for any reason at our sole discretion, in which case any paid but unused program fees will be refunded. (please initial below) *

Refund. If you change your mind and decide to leave the program in the first month, you will receive a full refund less a $25 administration fee. If you wish to drop out between 30 to 90 days from signing this agreement, your tuition will be refunded less a 10% administrative fee. No refunds for any reason will be given after 90 days from signing this agreement. (please initial below)*

I have read and agree to the above requirements and conditions of certification and I agree that typing my name below is the electronic equivalent of my actual signature (Please type your full name and today's date below)*

This field should be left blank