Registration Form by Phil | Jun 21, 2021 | Uncategorized Hydrotherapy Hub Application Step 1 of 3 33% Thank you for your interest in registering for our upcoming Hydrotherapy Training Course! Complete the following application, including submitting two references. Once your application has been received, it will be reviewed by our Student Admissions Committee and we will then contact you to let you know if you have been accepted. If you have any questions about the admissions process, you can contact us at [email protected]. Name(Required) Dr.MissMr.Mrs.Ms.Prof.Rev. 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Hydrotherapy Hub Website Promotional Email Promotional Flyer Church or Pastor Social Media Friend MI Camp Meeting Village Church Immersion Program Adventist Ministry Other If you selected an Adventist Ministry, please specify here. If you selected Other, please specify here. Why do you wish to take this hydrotherapy training course?(Required) Hydrotherapy ExperienceFrom what sources did you learn what you know about hydrotherapy?(Required) I have not yet learned hydrotherapy Training program from an Adventist institution Church or Conference Training Event Self-Study Other If you selected a Training Program, please specify here.(Required) If you selected Self-Study, please specify here.(Required) If you selected Other, please specify here.(Required) How would you rate your knowledge and experience level with hydrotherapy?(Required) None Very Minimal (Example: I’ve done a few treatments on myself or family members or have performed a few treatments on others.) Some (Example: I’ve performed a wide variety of hydrotherapy treatments on myself or others; I’ve assisted with hydrotherapy training.) Near Expert (Examples: I’ve utilized hydrotherapy extensively, taught hydrotherapy classes, and performed many treatments on very sick patients.) Other (please specify) If you selected Other, please specify.(Required) How many hydrotherapy treatments have you done on others or used on yourself?(Required) None 1-5 treatments 6-19 treatments 20 or more What is your comfort level in recognizing lifestyle needs and providing healthy lifestyle advice? (Scale of 1-5)(Required)Choose12345Ministry Experience A decision to apply for the Hydrotherapy 101 Training Course requires commitment and dedication to the service of Jesus Christ and ministry to others. Do you agree with the following mission and vision statements of Hydrotherapy Hub and desire to glorify God by ministering to the sick or suffering? Our Vision: Every church member a medical missionary. Our Mission: To promote the loving ministry of Jesus and support the Seventh-day Adventist mission by equipping members with the basic, practical skills necessary to prevent and treat disease and other conditions through hydrothermal therapy and simple treatments. pdf(Required) I agree with the the above statements.(Required)What is your church affiliation?(Required) What is the name of your home church and in what city is it located?(Required) In what church ministries or positions have you served?(Required)What community outreach or volunteer work have you been involved in?(Required)Do you have experience in health ministries or lifestyle coaching? Yes No From which Adventist ministries or missionary training schools have you received an education? (Examples: AFCOE, Souls West, Mission College, Wildwood, Uchee Pines, etc.). Briefly describe the training you received.(Required)What is your comfort level with recognizing spiritual interest in others and providing spiritual care to them? (on a scale of 1-5)(Required)Choose12345 Other PrerequisitesHave you ever taken a basic Anatomy & Physiology course at the secondary (highschool) or post-secondary (college) level?(Required)ChooseYesNoIf not, are you willing to do a short self-study course to help you become acquainted with basic anatomy & physiology related to hydrotherapy?(Required)ChooseYesNoDo you have reliable, high-speed internet connection and a microphone and webcam camera on your computer?(Required)ChooseYesNo[Note: The lab portion of this online course uses video conferencing through Zoom. This means you must have a computer webcam on your computer with the ability to share both video and audio so you can be both seen and heard by your instructors.]How would you rate your comfortability with computers and technology (navigating websites, online learning platforms, using Zoom, etc.?) (Scale 1-5)(Required)Choose12345Are you proficient in English for everyday language needs?(Required)ChooseYesNoYou will need a partner (your spouse or someone of the same gender) upon whom you can practice giving treatments for class demonstrations. Do you have someone that can commit to being your partner?(Required)ChooseYesNo[Note: The number of sessions and hours when your demonstration partner will be needed will be provided after you have been accepted.]Have you read the description of this course on the Hydrotherapy Hub website and are you committed to completing the requirements of this course?(Required)ChooseYesNoAdditional Questions:Giving hydrotherapy treatments requires physical aptitude (ie. standing for periods of time, bending down, kneeling, and lifting heavy buckets of water). Do you have a physical condition which would affect your ability to perform treatments?(Required)ChooseYesNoIf you answered YES, please explain and list any special accommodations you might need.Do you have a mental condition or emotional impairment which could affect your ability to carry out your role as a hydrotherapist and to safely and competently exercise your trainee-patient privileges?(Required)ChooseYesNoIf you answered YES, please explain and list any special accommodations you might need.Has any claim of sexual harassment or violation of civil rights ever been made against you that resulted in your receiving or incurring any warning, disciplinary action, or civil liability?(Required)ChooseYesNoDo you agree to not provide medical diagnosis to individuals for whom you provide hydrotherapy treatments?(Required)ChooseYesNoDo you agree to not sell Hydrotherapy Hub's curriculum materials or promote/sell your own products/services during this program?(Required)ChooseYesNoIn what ways, do you plan to use the hydrotherapy training you receive in this course to minister to the physical and spiritual needs of others?Character ReferencePlease provide the name of a Character Reference (teacher, mentor, employer, ministry colleague, friend, etc.) we can contact. Name(Required) First Last Phone(Required)Email(Required) Enter Email Confirm Email Ministry ReferencePlease provide the name of a Pastor / Ministry Leader with whom you have served in ministry (church, school, canvassing, campus ministry, mission service, etc.).Name(Required) First Last Phone(Required)Email(Required) Enter Email Confirm Email QuestionsDo you have any questions or concerns for us?CommentsThis field is for validation purposes and should be left unchanged. Back to
