Become a Mentor Thank you for your interest in becoming a TFHKA Mentor. We look forward to receiving your application form. Name(Required) First Last Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone(Required)Email(Required) Best time/way To Reach You(Required) Time Zone TFHKA Membership Type(Required) Professional Instructor Professional Instructor/Consultant Year you were first certified to teach Touch for Health(Required)Please enter a number from 1975 to 2022.Have you remained in good standing with TFHKA and IKC since the date above?(Required) Yes No Please provide the dates you have remained in good standing with TFHKA and IKC, and explain why you dropped and why you re-instated your affiliation.(Required)How many TFH 1-4 Workshops do you continue to teach annually?(Required) Don't teach it every year 1 Workshop 2-5 Workshops 6+ Workshops Why are you interested in becoming a TFHKA Mentor?(Required)Ideally, who would you like to mentor?(Required) TFH Students Associate Members AHP/IKC Proficient TFH Teachers In what areas of expertise can you provide Mentorship advice?(Required) Fine-tuning TFH Techniques Improving Muscle Testing Effective Goal Setting Balancing Protocols Working with Clients Integrating TFH into your practice TFH Teaching techniques Support to build a business with TFH Other If you selected "Other" for the above question, please specify.(Required) What will make you a good mentor?(Required)When can you be available to take a TFHKA Mentorship client?(Required) Days Evenings Weekends Select AllIs there anything else important to know about your availability? (Days of the week you're available, etc.) The fee you charge for Mentorship will be finalized upon approval with a signed agreement. As a mentor, you get to set your own fee for service, and then a % of that revenue will be agreed upon to be donated to TFHKA to support the program. The information below helps give us an idea of what you require for your commitment to be a TFHKA Mentor in this program.What price will you charge for a 60-minute Individual Mentoring Consultation?(Required) What price will you charge for a 3-Month Mentorship with once-monthly meetings? (3 sessions total)(Required) What price will you charge for a 3-Month Mentorship with once-weekly meetings? (12 sessions total)(Required) What price will you charge for a 6-Month Mentorship with once-monthly meetings? (6 sessions total)(Required) What price will you charge for a 6-Month Mentorship with once-weekly meetings? (24 sessions total)(Required) Would you be interested in offering a Group Mentorship?(Required) Yes No Maybe How will you provide Mentorship?(Required) In Person Digital Please provide a short Bio (300-500 words) that we can use to promote you as a TFHKA mentor. Your Bio should include: Your name # Years of experience in TFH Any other relevant experience, or education that can be helpful for someone to know who is considering a mentor. Areas of expertise that you can provide mentoring in Who you will Mentor: Student, Associate members, AHP/IKC proficient, TFH Inst/Consultants?Bio(Required)Attach a Headshot or Photo of you to include with your Bio(Required)A high-quality picture of yourself from the shoulders up portrait view is preferred.Accepted file types: jpg, png, Max. file size: 2 MB.Please Note: Receipt of this application form does not automatically guarantee acceptance into the TFHKA Mentorship Program as a Mentor. Your application will be reviewed. TFHKA will schedule a brief interview with you to ask questions (and answer yours) before your application goes to the Board for final approval. Once approved, you’ll sign a TFHKA Mentor Agreement, and then be in the pool of Mentors for TFHKA members to request support from as a part of the TFHKA Mentorship Program. I understand.CAPTCHA Δ