RMTi Rhythm Movement and Play Instructor - Application for Certification

Rhythm Movement and Play Instructor - Application for Certification
A student who has completed all of the requirements for certification as an RMTi Rhythm, Movement and Play Instructor, as outlined on the RMTi Website, may complete this form to initiate the process of becoming certified and licensed by RMTI.

After you submit this form, our Corporate Office will process your application and verify your requirements. Once your application has been verified and accepted:

You will receive an email with an invitation to complete your Instructor Agreement and to pay your Annual Membership fees by logging on to the RMTi Dashboard. Please note - The Annual Membership Fee is separate from, and not included in, the Application Fee you will pay when you submit this form.

Any questions about this process should be directed to our Corporate Office.
Step 1: Applicant Information
Applicant Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*

Confirmation EmailThis email address will be used to setup your RMTi login
Phone Number

Country CodeArea CodePhone Number
Website
If you have a website, you must list it here. If you do not, leave it blank.
What languages are you fluent in?
To select multiple languages hold the 'CTRL' key (for Mac this is the 'command' key)
What modalities are you qualified and/or certified in? Include dates when you obtained your qualifications and/or certifications. *
Outline your experience working in these areas of qualification and/or certification. *
What changes have you noticed in yourself since doing RMT? *
Do you agree that if someone contacts you, from the RMTi Website or any other source, specifically about Rhythmic Movements, that you will make RMTi a major component of that initial consultation? *

Yes, I agree.

Step 2: References

We require that you provide us with a minimum of two (2) work related references, whom we may contact to inquire about you. Please include Name, Address, Email Address, Telephone Number, and how they are associated with you.
Reference #1*
Reference #2*
List the names of any RMTi Instructors who supported you in the process of becoming an RMTi Consultant (i.e served as Mentors)*

Step 3: Confirm status as RMTi Consultant

Must have been a consultant for at least 6 months prior to application.
Have you been a consultant for longer than 6 months?*

Yes
When did you officially become an RMTi Consultant?*

MonthDayYear

Step 4: Confirm Attendance in RMTi Face the Fear, Intensive and Making Connections

Must complete all of the above.
Who was your instructor for RMTi Face the Fear? *
Have you attended an RMTi Intensive?*

Yes
Who was your instructor for the RMTi Intensive? *
Have you attended RMTi Making Connections?*

YesNo, I am applying in 2018 and this is not a requirement for isntructors until 2019
Who was your instructor for RMTi Making Connections? *

Step 5: Confirm Co-Teaching

Must have co-taught Rhythm Movement and Play or RMTi Level One and Two at least one time.
Which have you co-taught?*

Rhythm Movement and PlayRMTi Level One and Two
Who was the main instructor for Rhtyhm Movement and Play? *
Who was the main instructor for RMTi Level One and Level Two? *
When was this class taught?*

MonthDayYear
Date

Step 5: Confirm Observation

Must have been observed teaching Rhythm Movement and Play by a mentor or an Observer faculty at least once.
Have you been observed teaching RMTi for School Readiness?*

Yes
Who was the instructor that observed you teaching RMTi for School Readiness?*
When were you observed teaching RMTi for School Readiness?*

MonthDayYear
Date

Step 5: Upload 3 NEW Completed Case Studies

A minimum of 3 NEW case studies are required to apply. We require that you have seen the person a minimum of 3 times for each case study. Upload using the links below. These cannot be the same case studies you submitted for your consultant application.
Have your case studies been reviewed by a current RMTi instructor?*

YesNo
Name of RMTi Instructor who reviewed your case studies*
Would you like us to assign an instructor to review your case studies and provide feedback for a fee of $5 USD per case study? *

YesNo, I will ask an instructor to review my case studies, and then I will re-submit them to the office. I understand that my application is not complete until I submit reviewed case studies.
Case Study 1*

Upload a File

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Case Study 2*

Upload a File

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Case Study 3*

Upload a File

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Step 6: Pay Application Fee

As with all our fees, application fees are divided into two tiers . All Tier 2 Countries are listed in the drop down below. If you live in a Tier 2 country, please select if from the list, and then select the Tier 2 Application fee. If your country is not listed, please select "My Country is not listed here" and then select Tier 1 Application Fee.
Tier 2 Countries *
If your country is not listed here, you are Tier 1

My Products*

Tier 1 Application Fee$75.00

Tier 2 Application Fee$25.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

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Rhythm Movement and Play Instructor - Application for Certification

Step 1: Applicant Information

Step 2: References

Step 3: Confirm status as RMTi Consultant

Step 4: Confirm Attendance in RMTi Face the Fear, Intensive and Making Connections

Step 5: Confirm Co-Teaching

Step 5: Confirm Observation

Step 5: Upload 3 NEW Completed Case Studies

Step 6: Pay Application Fee