Before completing this application, thoroughly read the
“Guidelines For AAEd Educator Accreditation”
which gives a complete overview of the Accreditation Renewal Process.

RENEWAL APPLICATION for
Reflexology Educator Accreditation (AAEd)
www.acaret.org

Renewal Application Fee: The AAEd renewal fee of $150 must be paid through PayPal upon submitting this application. ACARET's renewal process begins only after receipt of the payment.

After you complete this renewal application and click SUBMIT, you will immediately receive a confirmation with a link to submit the renewal fee payment of $150 on PayPal.

All application fees are non-refundable. Renewal is valid for a term of three years upon approval. Allow 5 weeks after payment is received to be notified of the renewal application status. Read the AAEd Guidelines on the website for more details.

APPLICATION OUTLINE:
A. Contact Information

B. Website Listing

C. CE Credit Documentation

D. Classes Taught

E. Professional Associations

F. Personal History
G. Applicant Statement

Note: If any field is required and does not apply, simply enter N/A.

A. CONTACT INFORMATION

First Name *

Last Name *

Address 1 *

Address 2

City *

State *

Postal Code *

website url *

email address *

Daytime Phone *

Cell Phone

B. ACARET WEBSITE LISTING: Accredited Educators are listed on the ACARET website by State with name, address, a free website link and email address as given in Item A above. Check any information below that you DO NOT want listed. You may also list a different address from the one in Item A.

B.1 Please do NOT list the following:

email address

website address

B.2 Use this address instead for the website listing (add complete address with zip):

B.3 Attach a jpeg headshot photo for the website listing. Be sure to UPLOAD.

C. CONTINUING EDUCATION (CE) DOCUMENTATION of 36 CE Hours in the past 3 years: must include a minimum of 16 hours in-classroom. CE Credit for other learning activities can be requested (see C.4 below) to not exceed 20 hours. All submissions require documentation of hours with certificates of attendance or proof of participation. If you have more than 3 in-classroom CE classes to document please email us at acaret@acaret.org and attach the additional documentation in that email.

C.1: CE Class or Event #1

Name of Class or Event *

Hours of CE Credit Requested *

Location/School Name/etc *

City, State

Contact Person/Instructor

Contact Phone, email or website *

Dates Attended *

Degree, Diploma or Certificate *

ATTACH DOCUMENTATION FOR CLASS #1 by uploading a certificate, transcript, etc. from where you have SAVED the file. Example: scan a certificate, SAVE AS, then upload the file here. BE SURE to choose the file, then UPLOAD it.

C.2: CE Class or Event #2

Name of Class or Event

Hours of CE Credit Requested

Location/School Name/etc

City, State

Contact Person/Instructor

Contact Phone, Email or website

Dates Attended

Degree, Diploma or Certificate?

ATTACH DOCUMENTATION FOR CLASS #2 by uploading a certificate, transcript, etc. from where you have SAVED the file. Example: scan a certificate, SAVE AS, then upload the file here. BE SURE to choose the file, then UPLOAD it.

C.3: CE Class or Event #3

Name of Class or Event

Hours of CE Credit Requested

Location/School Name/etc

City, State

Contact Person/Instructor

Contact phone, email or website

Dates Attended

Degree, Diploma or Certificate?

ATTACH DOCUMENTATION FOR CLASS #3 by uploading a certificate, transcript, etc. from where you have SAVED the file. Example: scan a certificate, SAVE AS, then upload the file here. BE SURE to choose the file, then UPLOAD it.

C.4: CE CREDIT REQUEST for Other Learning Activities. Requires Proof of Participation: These activities may include learning methods outside live reflexology classroom such as public speaking, attendance of reflexology conferences, ecourses, home study, audio or video classes, teleclasses, distance learning, authoring published articles, reflexology community event participation, business building or ethics courses or reflexology research See the AAEd Accreditation Guidelines at www.acaret.org for details and other acceptable activities for CE credit.

List the name of activity, date(s), hours attended and method of documentation (to be uploaded below for each activity). Leave a line between each listling:

ATTACH DOCUMENTATION FOR each activity by uploading proof of attendance, transcript, etc. from where you have SAVED the file. Example: scan a document, SAVE AS, then choose the file and upload the file here.

D. REFLEXOLOGY TEACHING EXPERIENCE: List classes you have taught in the past three (3) years with a minimum of 3 students on each class roster. Attach rosters for each class listed.

CE Provider # with ARCB

CE Provider # with NCBMTB

CE Provider # with Other (please name)

D.1: Reflexology Class Taught #1

Class #1: title, description and number of students on roster (attach roster below). *

Location where you teach this class (name of school, venue, online, etc). Your position (primary instructor, teacher assistant) and how long you have taught this specific class (months, years). *

Attach Roster #1. Remember to Upload.

D.2: Reflexology Class Taught #2

Class #2: title, description, number of students on roster (attach roster below).

Location where you teach this class (name of school, venue, online, etc). Your position (primary instructor, teacher assistant) and how long you have taught this specific class (months, years).

Attach Roster #2. Remember to Upload.

D.3: Reflexology Class Taught #3

Class #3: title, description, number of students on roster (attach roster below).

Location where you teach this class (name of school, venue, online, etc). Your position (primary instructor, teacher assistant) and how long you have taught this specific class (months, years).

Attach Roster #3. Remember to Upload.

E. PROFESSIONAL ASSOCIATIONS: CHECK WHICH APPLY

RAA Membership: Reflexology Association of America

ACARET Board or Committee

Your State Association

ARCB Board or Committee

Your position on any of the above or other affiliation with a reflexology organization (local, state, national or international)

F. PERSONAL HISTORY

If you have ever been (a) charged with, convicted or or plead guilty to a felony which involved a penalty or (b) involved with a malpractice claim, please give dates and explain the circumstances for each. If not applicable, enter N/A. *

G. DECLARATION statement from the Applicant named on this Application

I declare that the answers and information contained herein are true and correct to the best of my knowledge. I understand that ACARET reserves the right to conduct and complete background checks to verify information voluntarily submitted on the application for teacher accreditation. I understand and agree to respond to ACARET requests for additional information. I understand that any false information contained within this application may result in rejection, denial or revocation of my teacher accreditation. I have read and agreed to abide by the Code of Ethics and all policies and procedures outlined in the Educator Accreditation Guidelines and acknowledge that failure to do so shall constitute grounds for rejection of my application or denial or revocation of my accreditation. I understand that the information contained in the application is confidential. I attest that I have read, understand and agree to the information, policies and procedures outlined in the Educator Accreditation Guidelines.

As the applicant named above, I attest that I have read, understand and agree to the information above and with the policies and procedures outlined in the ACARET AAEd Educator Accreditation Guidllines. NOTE: YOU MUST CHECK THIS BUTTON TO PROCEED.

- END -

This concludes the application. After reviewing that you have completed all information needed, click SUBMIT. You will receive a confirmation that your application was received as well as a link to pay your fee via PayPal. Thank You.

If you have questions or need help with this application, email acaret@acaret.org.

ACARET
American Commission for Accreditation of Reflexology Education and Training

www.acaret.org

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