The following two (three) certified Energetic Integration Trainers acknowledge their observation of :
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conducting a teaching lecture-demonstration of a model EI session, which included lecturing on the context, the strategy and the goals of the work in a particular phase of the EI process.
on(date) . . . . . . . . . . . . . . . . . . at (place). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
before two EI trainers (the mentor trainer and an outside trainer) and a group of students.
We accept this lecture-demonstration as fulfilling part of the candidate's requirements for becoming an EI Trainer.
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Trainer date
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Trainer date
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Trainer date
(optional)
A copy of this Form is to be presented together with your application and other details required for the acceptance of trainership to ICPIT and ICRI.