Reiki 3rd Degree Course Application
In-person course in Singapore. This class is conducted in ENGLISH and is scheduled for 29-30th June and 2nd April 2023. This class is open only to individuals who have successfully completed the Reiki I and II courses under Shin.  Workshop is a pre-requisite to the 6-month Reiki apprenticeship training (Reiki Teacher Training).

S$780 course fee. Payment details will be emailed over upon successful acceptance into the Reiki III course.

Reiki III is the third and last in a three-degree system of training (excluding Teacher Training) for the modern Reiki practitioner in the traditional Usui lineage. Assuming there is sufficient enrollment, the future level, Teacher Training course, will be offered for this class group in the subsequent year.

All completed and submitted registration forms will be perused. Successful practitioner applicants will be informed via email and accepted into the course, thank you.
Sign in to Google to save your progress. Learn more
Email *
Contact Information
Please complete all questions.
Full Name *
Emergency Contact *
Whom should we contact in the event of emergency? Please provide name, relationship, phone number, and email (if available). Also, is this person aware you are studying the traditional art of Reiki healing?
History
Please take as much space as needed to answer these questions.
1. Reiki I and II is a prerequisite for this course. *
When (month and year) did you complete Reiki II, and who was your teacher (from the Usui/Takata/Hayashi/RC/RKMRI lineage)?
2. Reiki III requires a regular self-practice. *
How regular is your individual Reiki self-practice? And the duration per practice? (Any additional purposeful acts you consider part of your spiritual-healing practice can be included here.)
3. Reiki III is a 15-hour course learning a variety of tools, but post-graduation, our journey "can" touch us on different levels, bringing up a variety of hidden and repressed issues or challenges. *
Are you prepared to face these issues to the best of your ability and do you have proper emotional support to aid you in this challenge? Family, friends, practitioner-mates and/or any other social and spiritual support can be made aware of your commitment.
Pre-Reiki III Homework Assignments
You are required to have completed the assignments e.g. label sends given prior to registration. Please refer to the website, your email or contact Shin if you are unsure.
4. What was your greatest challenge during the completion of each homework assignment? *
5. What is your main reason or motivation for deciding to register for Reiki III? *
Reiki III is the beginning of a deeper journey where the tradition of Usui Reiki will be be passed to you. The heart to follow the century-old Usui Reiki tradition is an important part of the entire process.
6. What do you hope to accomplish or contribute etc. through taking Reiki III? *
7. What does the title of a "Reiki Master (Practitioner)" mean to you? *
8. Do you currently or in the past have any diagnosed mental health, psychological or neurological issues? Do any currently require medication or have required medication in the past? Have you ever spent time in a mental health facility? Do you suspect you might have an undiagnosed mental illness or imbalance? *
If you answer yes to any of these questions, please state the nature of the issue. All teachers should be aware of the mental health of their students to best be able to support them during the workshop. While such issues are not necessarily prohibitive to study, full disclosure of such issues is necessary for your as well as as your classmates' continued safety and wellbeing during the entire course or workshop duration. Failure to disclose can result in non-acceptance to the course or termination from the course. You are also required to have fully disclosed your physical health and full vaccination status for COVID-19 prior to the start of the course upon acceptance.
9. Have you experienced any significant life-changes in the year prior to this application? *
If yes, please describe the nature of this experience and if you feel it will affect your class performance.
10. Do you have any questions? *
11. Do you intend to teach the art and tradition of Usui Reiki in the future? *
Availability of Training
This training is open to people of all beliefs, races, religions, sexual orientations, gender identity, ethnicity or background. We do reserve the right to refuse admittance to those who do not possess the necessary commitment, intentions, stability or health to safely complete the programme and we reserve the right to refuse graduation certification to any and all that do not fulfil the course requirements to the best of their abilities. The course requires a level of self-responsibility, discipline and introspection to successfully complete. This training is neither a substitute for medical care or psychological counselling, nor is it a means to obtain information and knowledge for the sole purpose of seeking individual or monetary gains at the expense of another. Students are wholly responsible for their own physical and emotional well-being and care. Students are also wholly responsible for their emotional or other responses to attunement and healing work. Support by peers and teacher is provided, but if you require outside support and facilitation via a counsellor or therapist due to individual health history, make sure such support is in place BEFORE starting the course.
Confidentiality Agreement *
All private materials related to this course (i.e. those materials not available yet or for distribution to the general public) are under consideration for future publication or release (irregardless of whether actual publication happens or not), and thereby must be kept private, used only by students currently enrolled in the Reiki courses. I agree that I will not, during my learning engagement in this course or at any time thereafter, disclose to any third party any confidential material, including writings, files, artwork, designs, formulas and audio material related to the workshop. I will likewise keep material shared by other students in the course, if any, personal or professional, confidential unless otherwise given permission to disclose such information by said party. Healing groups should be confidential places where people feel comfortable sharing information and experiences, and Reiki symbols and rituals kept sacred with all due respect to the Reiki lineage.
Required
Legal Name *
Date Submitted *
MM
/
DD
/
YYYY
Signature *
I understand that submission of the above information constitutes a digital signature and is legally binding.
Required
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms