Approved For Release 2003/09A&g CIK-RDP96-00788R001700210054-3 (C) Educator: In which the member is associated with a learning institute, and elects to include such methods and tech- niques in his teaching, either at an informational or prac- tical level. ORGANIZATION - Professional Membership will be under the direction of the Pro- fessional Committee, who will in turn appoint their own chairman. The original Committee will be appointed by Robert Monroe, which will be active until the first annual Professional Conference. At such Conference each year, the Professional Committee will elect the Committee for the following year. The total number of Committee Members is limited to seven. The Professional Member enjoys a special relationship with .the Institute. He can use the Institute materials in his own practice or research either in the prescribed manner or through innovative approaches that he himself may develop. He may use such materials as are now inventoried, or obtain from the Institute special ma- terial to fit his particular requirements. He may, in particular cases, bring his client or patient to the Institute Center in Vir- ginia for special sessions conducted by him, and utilizing the unique facilities available there. In such event, housing for both Can be provided at the Center. Most important, there is no requirement that he participate beyond those in his original application. He can remain passive and be only the recipient of information and research data as these are developed. In turn, he can join to whatever degree he chooses in the explorations of human consciousness instigated by the Institute. The Professional Member receives these commitments from the Institute: 1. The privilege of utilizing various audio and other entrain- ment material developed by the Institute, on a one-to-one basis and solely by him or under his direct control, for the purpose stated in his Membership Application. However, such purpose may be added to or changed upon written re- quest to the Institute. Such privilege will continue as long as he remains an Active Member in good standing. 2. Frequent reports on the research and other activities of the Institute and other organizations with related interests, including but not limited to the areas of his particular discipline. 3. Periodic research data in unprocessed form for consideration and evaluation as it may become available, from not only the Institute but from other organizations and individuals as well. Approved For Release 2003/09/10 : CIA-RDP96-00788R001700210054-3
The tute: Approved For Release 2003/0402: GIA-RDP96-00788R001700210054-3 An Annual Professional Conference only for such membership, held at the new Institute Training and Research Center in Virginia. During this meeting, new Institute techniques and data will be presented to Professional Members, in- cluding training in the application thereof. The balance of the Conference will consist of reports and discussion by such Members. The privilege of utilizing the Institute training and re- search facilities in Nelson County, Virginia for one-to-one sessions with special clients, conducted by the Professional Member. Under this section are included use of CHEC units, bio-monitoring, M & T applications, with audio and video- tape recording. Upon approval or recommendation by the Institute or the. Institute Professional Committee, attendance at various meetings, conferences, seminars or similar events sponsored by other organizations as a representative or on behalf of the Institute. Professional Member makes these commitments to the Insti- That he will keep reasonable records of his work with Institute material and methods, and transmit a copy of such records and an evaluation thereof to the Institute on a regular basis. The frequency of such reporting will vary according to use, it is understood. That he will submit to the Institute for approval any material he may write for publication regarding his work with Institute methods prior to publication. The purpose of this commitment is not to avoid adverse comment, but to insure accuracy in content. Therefore, such approval cannot be withheld for any other reason. That he will not reproduce or duplicate any program or training material obtained by him from the Institute, or permit any other person to do so. That he will utilize such Institute program or training material only in the manner stated in his Membership application unless he receives written approval to do otherwise. Such material will be employed only by him or by a person or persons trained by him and under his direct supervision. That he will keep careful control of such material to preserve its integrity and to prevent unauthorized use of it by others. Approved For Release 2003/09/10 : CIA-RDP96-00788R001700210054-3
Page 4 Approved For Release 2003/09/10 : CIA-RDP96-00788R001700210054-3 That if he terminates his membership in the Institute or his membership is terminated by the Institute for good and valid reason, he will return promptly any program or training material he has obtained from the Institute. However, this does not include any records or reports he may have gathered during his membership period. That he will permit the Institute to disseminate any such reports he may make regarding his work with Insti- tute materials, unless he specifically requests confi- dentiality. In the latter event, his reports will re- main strictly a part of Institute data and remain in the Institute archives. That he will co-operate with the Institute in the evalu- ation of information and data sent to him for such purpose, and respond within a reasonable period with oral or written comments. MEMBERSHIP FEES - At this time, the Institute obtains its support from members and others who subsidize its research and other activities. Pro- fessional Members are asked to be a part of such support. Thus all membership fees and other charges are based upon a total cost of the maintenance of the Institute rather than a single item. ANNUAL PROFESSIONAL MEMBERSHIP $150. (due with application) TAPED TRAINING PROGRAMS (per cassette) 50. (per 7" reel) 75. (replacements at 1/2 original price with return of old cassette or reel) ONE-TO-ONE SESSIONS (at Virginia Center) room and meals, per person, per day: 35. technical facilities, per hour 25. (including bio-monitoring, audio recording, and technician) Use of interview rooms, community areas NC EXPERIMENTAL CATALOG (including cassette tapes and instructions) P7901. STRESS-TENSION REDUCTION (4 cassettes) 200. P7905 PAIN CONTROL (3 cassettes) 150. (Chronic, Transient) P7910 EMERGENCY SERIES (4 cassettes) 200. (for Surgery, serious illness, accident) P7916 RELAXATION (2 cassettes) 100. Approved For Release 2003/09/10 : CIA-RDP96-00788R001700210054-3
Approved For Release 2003/09P¥03:°CIA-RDP96-00788R001700210054-3 P7920 FOCUS 3 (3 cassettes) 150. (Hemispheric Synchronization) P7925 SLEEP TRAINING {3 cassettes) 150. (learning to sleep without medication) P7927 ANTI-SMOKING (2 cassettes) 100. (reduction entrainment) P7940 CONCENTRATION (2 cassettes) 100. (for study and memory) P7950 CHROMA AA-2 50. (non-verbal-open experiments) P7951 STROKE RECOVERY (general) 50. . P7952 STROKE RECOVERY (speech) 50. P7953 STROKE RECOVERY (motor transfer) 50. P7950 SPECIAL PROGRAMMING 200. (per 45 minute cassette) (customized per requirements) CONDITIONS OF USE - The above fees represent a one-time only charge, with unlimited use in a research mode as long as the individual remains an active Professional Member, provided: If such material, methods and tech- niques of the Institute are the basis for a Grant made to the Pro- fessional Member or to an organization by whom he is employed, ten (10%) percent of the gross monies received under such Grant shall be paid to the Institute as royalties. A Professional Member who uses such taped material obtained from the Institute in his private or other practice, (for which he charges a fee or fees), will pay to the Institute sixty ($60) dollars for each month he so uses said material. There is no limit to the number of times he may use such material, under this section, and such use must be included in his original or amended Proposal submitted to and approved by the Institute. Approved For Release 2003/09/10 : CIA-RDP96-00788R001700210054-3
cee aT TB | Approved For Release 2003/09/49 ¢ ChA-RDP96-00788R001700210054-3 Monroe Institute of Applied Sciences P.O. Box 57 Afton, Virginia 22920 PROFESSIONAL MEMBERSHIP APPLICATION Phone (703) 456-8166 Profession Birth Date Name: Last First Middle Address: Street City State Zip Phones: Business Home Academic: (Degrees & Institutions, specialization) Professional History: (Previous five years only) Publications (Attach copies if available): I hereby make application for Professional Membership in the Monroe Institute of Applied Sciences. I have read the statement issued by the Institute dated May 15, 1979, and I agree to the conditions stated there- in. I have attached to this Application a Proposal which indicates the use I intend to make of any Institute Materials provided me, and I agree to utilize such Materials only in the manner and purpose so indicated. I do understand that such materials, methods and techniques are experi- mental in nature, and I take sole responsibility for my use and appli- cation of them. I therefore, release the Institute from any and all liability in connection with said use by me or by those under my di- rection. I understand that much of the information, methods and tech- niques furnished me by the Institute is privileged, and my membership in the Institute in no way implies or constitutes ownership of such. I understand that the Institute will not make public use of my name or any reports transmitted by me to the Institute without my written consent. Date: Applicant: Approved For Release 2003/09/10 : CIA-RDP96-00788R001700210054-3