Initial Information Form

Initial information form for entry to Full membership of the Association of Reflexologists

Please note that the AoR does not accept any On-Line or Distance Learning reflexology training for membership.

Important:
Please attach a copy of your reflexology qualification certificate together with the accompanying credit transfer if available (We cannot process your application without a copy of your reflexology qualification)

• Please attach a copy of your course content and syllabus (if this available) or a contact email for your tutor.
• If your qualification was taken in a country external to the UK, you may require a statement of comparability from UK NARIC. Please call us on 01823 351010 or email info@aor.org.uk to enquire.

Once completed, this form will be forwarded to the AoR Training and Education Team who will allocate points according to the information given. Therefore, please make sure you complete this form with as much relevant information as possible.
Your Information
Initial Information Application

YOUR TRAINING INFORMATION

Please upload your Reflexology Certificate
Files must be less than 5 MB.
Allowed file types: gif jpg jpeg png bmp eps tif pdf doc.
Please state the year your reflexology qualification was issued.
Please upload evidence of your course syllabus if available
Files must be less than 5 MB.
Allowed file types: gif jpg jpeg png bmp eps tif pdf doc.
Please state your awarding body and level of qualification e.g. ITEC Level 3 Diploma in Reflexology, VTCT Level 3 Diploma in reflexology, etc.
(e.g. 500/6499/X , 600/3673/4 - this can normally be found on your certificate)
Total number of hours spent physically present in your school or college, learning reflexology theory and practice: If you can’t remember then please estimate the number of days multiplied by the approximate number of hours you attended per day. If your course was in Complementary Therapies or Holistic Therapies, ONLY include the time spent learning reflexology here.
Did your course include tuition or home study on anatomy, physiology and pathology?
If yes, please attach a certificate or syllabus for this unit if possible
Files must be less than 5 MB.
Allowed file types: gif jpg jpeg png bmp eps tif pdf doc.
Did your course include tuition or home study (e.g. classroom sessions, an essay, a presentation etc) on business studies?
If yes, please attach a certificate or syllabus for this unit if possible
Files must be less than 5 MB.
Allowed file types: gif jpg jpeg png bmp eps tif pdf doc.
Did your course include tuition or home study (e.g. classroom sessions, an essay, a presentation etc) on awareness of other complementary therapies?
If yes, please attach a certificate or syllabus for this unit if possible
Files must be less than 5 MB.
Allowed file types: gif jpg jpeg png bmp eps tif pdf doc.
Total number of fully documented reflexology case studies (multiple treatments on same client – at least 4 treatments on each. e.g. 4 case studies with 6 treatments on each.
Total number of additional documented treatments, including treatments provided to classmates, clinic sessions at the school/college, or all full treatments either observed or marked by your tutor.

CONFIRMATION OF PROFESSIONAL STANDARDS CPD

Please tell us about any reflexology based CPD training you have done. For each course, please answer the following: • Name of the course? • How many hours was the course? • Did the course involve case studies?
Files must be less than 5 MB.
Allowed file types: gif jpg jpeg png bmp eps pdf doc.
• Name of the course? • How many hours was the course? • Did the course involve case studies?
Files must be less than 5 MB.
Allowed file types: gif jpg jpeg png bmp eps tif pict html pdf.
Files must be less than 5 MB.
Allowed file types: gif jpg jpeg png eps tif pdf doc.
• Name of the course? • How many hours was the course? • Did the course involve case studies?
Files must be less than 5 MB.
Allowed file types: gif jpg jpeg png eps tif html pdf doc.
• Name of the course? • How many hours was the course? • Did the course involve case studies?
Files must be less than 5 MB.
Allowed file types: gif jpg jpeg png eps tif pdf doc.

OTHER RELEVANT TRAINING/EDUCATION

(e.g. are you a qualified nurse, pharmacist, paramedic etc?)
Please upload your certificate or evidence of your training
Files must be less than 5 MB.
Allowed file types: gif jpg jpeg png eps tif html pdf doc.
Please upload any other certificate or evidence you would like to include
Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png.
Do you hold any qualifications for subjects regulated by the Health Professions Council? (e.g. chiropody)
Do you hold any qualifications for subjects regulated by the Health Professions Council? (e.g. chiropody) • Please attach copies of your qualification certificate
Files must be less than 5 MB.
Allowed file types: gif jpg jpeg png eps tif pdf doc.
Do you hold any qualifications for any statutory regulated therapies e.g. osteopathy
Files must be less than 5 MB.
Allowed file types: gif jpg jpeg png tif pdf.
Do you teach on any complementary therapy or reflexology courses?
What qualification do you teach?, where do you teach?

YOUR REFLEXOLOGY PRACTICE

Please state the number of years you’ve been in practice as a reflexologist. If you are currently not practising, please indicate the year you stopped
Whilst practising as a reflexologist, how many paying reflexology treatments do (or did) you provide per month?
Whilst practising as a reflexologist, how many different people do (or did) you give paid reflexology treatments to per year?
Whilst practising as a reflexologist, how many non paying reflexology treatments do (or did) you provide per month?
If so, in what capacity?
• How frequently do you do this? (E.g. once per week/ fortnight/ month etc)
Please list any relevant voluntary work you have undertaken as a reflexologist? (e.g. hospice, care home or hospital) Are these sessions regular or ad hoc? Please provide details.

MEMBERSHIP OF OTHER RELEVANT ORGANISATIONS

Are you (or have you been in the past) a member of any other relevant membership organisations for reflexology or other therapies?
If so, which organisation and how many CPD hours are required per year?

ADDITIONAL INFORMATION

Please enter any other information that you believe is relevant to your application.
Please upload any additional certificates that you believe are relevant to your application.
Files must be less than 5 MB.
Allowed file types: gif jpg jpeg png eps tif pdf doc.
Files must be less than 5 MB.
Allowed file types: gif jpg jpeg png eps tif html pdf doc.
Files must be less than 5 MB.
Allowed file types: gif jpg jpeg png eps tif pdf doc.
Files must be less than 5 MB.
Allowed file types: gif jpg jpeg png bmp eps tif pdf doc.
Files must be less than 5 MB.
Allowed file types: gif jpg jpeg png bmp eps tif pdf doc.
I confirm that the information given on this form is correct: We require a signature – please either print off and post or insert a scanned copy of your signature