Approved For Release 2003/090% £IA-RDP96-00788R001 70021 0054-3
(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 we
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4.
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.
5.
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.
6.
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.
The Professional Member makes
these commitments
to
the Insti-
tute :
1.
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.
2.
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.
3.
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.
4.
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.
5.
That he will keep careful control of such material
to
preserve
its integrity and to prevent unauthorized use
of
it by others.
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6.
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.
7.
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.
8.
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.
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P7920 FOCUS
(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
(non-verbal-open experiments)
.
P7951 STROKE RECOVERY
(general)
50.
P7952 STROKE RECOVERY
(speech)
50.
P7953 STROKE RECOVERY
(motor transfer)
.
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.
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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:
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