MEMBERSHIP APPLICATION

Please complete the form below making sure that all required information is given. Failure to complete the form correctly will result in your membership application being delayed.

Membership Number

Name *

First

Last

Email *

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Current Reiki Level which you are Renewing

CPD for the annual period of

CPD Requirements (Please see Guidance Notes)

Each Reiki Practitioner should undertake a minimum of 12 hours of CPD per year. A minimum of 6 hours should be specific to Reiki (Section A). A maximum of 6 hours may be general, (Section B) including reflection or research. If you complete more than 12 hours of Reiki Specific CPD (Section A) in the year, you may carry over up to 6 hours of the surplus from Section A to the following year. General CPD (Section B) cannot be carried over. Note: Giving Reiki to Clients or Teaching Students does not count as CPD.

Section A - Reiki Specific - Minimum of 6 hours

Section A - Activity 1

Date of Activity - A1

Activity Title - A1

Activity Description - A1

Activity Duration - A1

CPD Points awarded to Activity - A1

Please upload any certification issued for this activity - A1

Click or drag a file to this area to upload.

Section A - Activity 2

Date of Activity - A2

Activity Title - A2

Activity Description - A2

Activity Duration - A2

CPD Points awarded to Activity - A2

Please upload any certification issued for this activity - A2

Click or drag a file to this area to upload.

Section A - Activity 3

Date of Activity - A3

Activity Title - A3

Activity Description - A3

Activity Duration - A3

CPD Points awarded to Activity - A3

Please upload any certification issued for this activity - A3

Click or drag a file to this area to upload.

Section A - Activity 4

Date of Activity - A4

Activity Title - A4

Activity Description - A4

Activity Duration - A4

CPD Points awarded to Activity - A4

Please upload any certification issued for this activity - A4

Click or drag a file to this area to upload.

Section A - Total Amount of Hours

Section B - General - Minimum of 6 hours

Section B - Activity 1

Date of Activity - B1

Activity Title - B1

Activity Description - B1

Activity Duration - B1

CPD Points awarded to Activity - B1

Please upload any certification issued for this activity - B1

Click or drag a file to this area to upload.

Section B - Activity 2

Date of Activity - B2

Activity Title - B2

Activity Description - B2

Activity Duration - B2

CPD Points awarded to Activity - B2

Please upload any certification issued for this activity - B2

Click or drag a file to this area to upload.

Section B - Activity 3

Date of Activity - B3

Activity Title - B3

Activity Description - B3

Activity Duration - B3

CPD Points awarded to Activity - B3

Please upload any certification issued for this activity - B3

Click or drag a file to this area to upload.

Section B - Activity 4

Date of Activity - B4

Activity Title - B4

Activity Description - B4

Activity Duration - B4

CPD Points awarded to Activity - B4

Please upload any certification issued for this activity - B4

Click or drag a file to this area to upload.

Section B - Total Amount of Hours

Total CPD Hours for Section A and Section B for the year

If total hours in Section A exceeds 12 hours you may carry over up to 6 of those hours to next year provided you have met this year’s minimum total of 12 hours of CPD (these will be deducted from this year’s total). Number of hours from Section A which you wish to carry over to next year - max 6hrs

Name of insurance company *

Date of insurance renewal *

Please upload insurance documentation *

Click or drag files to this area to upload. You can upload up to 10 files.

CPD Checklist

I confirm that I have undertaken the CPD activities, which are summarised above.
I have maintained a portfolio/file, which contains further documentation to support the activities listed, including evaluation of the activity undertaken.
The portfolio/file is available for review by the UK Reiki Federation should they wish to audit or spot check the file.
I will complete audit documents if requested to do so by the UK Reiki Federation.

Date

Name

UK Reiki Federation
9 Barnfield Close
Old Coulsdon
Surrey, CR5 1QR

Email: admin@reikifed.co.uk
Phone: 0203 745 9746

MEMBERSHIP APPLICATION

CPD Requirements (Please see Guidance Notes)

Section A - Reiki Specific - Minimum of 6 hours

Section A - Activity 1

Section A - Activity 2

Section A - Activity 3

Section A - Activity 4

Section B - General - Minimum of 6 hours

Section B - Activity 1

Section B - Activity 2

Section B - Activity 3

Section B - Activity 4

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MEMBERSHIP APPLICATION

CPD Requirements (Please see Guidance Notes)

Section A - Reiki Specific - Minimum of 6 hours

Section A - Activity 1

Section A - Activity 2

Section A - Activity 3

Section A - Activity 4

Section B - General - Minimum of 6 hours

Section B - Activity 1

Section B - Activity 2

Section B - Activity 3

Section B - Activity 4

Contact to Listing Owner

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