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CONTENTS SCIENTOLOGY Level 1
STANDARD AcADEMY CHECKSHEET
(HTS) Hubbard Trained Scientologist
Prerequisites: Study Tech: Product: Certificate: Length of course: Section I: Keeping Scientology working Section II: Books Section III: Charts and Scales Section IV: Codes Section V: Practical Data Section VI: TRs Section VII: Meter Drills Section VIII: Data on Auditing Section IX: Auditor must nots Section X: Styles of Auditing Section XI: Objectives/CCHs Section XII: Problems and Help Student Theory Completion: A: Student Attest: B: Exam: Auditing Section: Practical Attest: Student Course Completion Student Attest at C&A Student informed by Qual Sec of C&A: Certs & Awards
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LEVEL 1 CHECKSHEET
(Originally based on HCO PL 22.9.78R Issue II)
LEVEL 1 CHECKSHEET
(Originally based on HCO PL 22.9.78R Issue II)

SCIENTOLOGY Level 1
STANDARD AcADEMY CHECKSHEET
(HTS) Hubbard Trained Scientologist

SCIENTOLOGY Level 1
STANDARD AcADEMY CHECKSHEET
(HTS) Hubbard Trained Scientologist

This course contains knowledge vital to successful living.

This course contains knowledge vital to successful living.

NAME: _____________ ORG: _______________

NAME: _____________ ORG: _______________

DATE STARTED: ______________ DATE COMPLETED: ______________

DATE STARTED: ______________ DATE COMPLETED: ______________

This checksheet contains the vital survival knowledge of Scientology Level One technology. It covers the technology dealing with Objective Processing, „help“ and „problems“.

This checksheet contains the vital survival knowledge of Scientology Level One technology. It covers the technology dealing with Objective Processing, „help“ and „problems“.

Prerequisites:
Prerequisites:
  1. Student Hat
  1. Student Hat
  • Provisional Class 0
  • Provisional Class 0
  • Method one Word Clearing (recommended)
  • Method one Word Clearing (recommended)
  • Study Tech:
    Study Tech:

    Full application of all study tech is to be used throughout this course. The items are to be studied and drilled in sequence. The checksheet is done one time through materials and practical.

    Full application of all study tech is to be used throughout this course. The items are to be studied and drilled in sequence. The checksheet is done one time through materials and practical.

    Product:
    Product:

    A Hubbard Trained Scientologist who is able to be standardly audit others to Grade 1 Problems Release.

    A Hubbard Trained Scientologist who is able to be standardly audit others to Grade 1 Problems Release.

    Certificate:
    Certificate:

    Completion of this checksheet entitles you to a “Provisional Hubbard Trained Scientologist Certificate.” A Provisional Certificate is only valid for one year at which time it must be validated by Internship.

    Completion of this checksheet entitles you to a “Provisional Hubbard Trained Scientologist Certificate.” A Provisional Certificate is only valid for one year at which time it must be validated by Internship.

    When you have completed through to Class 4 training, you should immediately interne in this organization or higher org under the professional guidance of technical experts. An internship is absolutely necessary to full auditor training. When you can then apply the processes of the Grade flublessly you will be awarded your full permanent Hubbard Trained Scientologist Certificate.

    When you have completed through to Class 4 training, you should immediately interne in this organization or higher org under the professional guidance of technical experts. An internship is absolutely necessary to full auditor training. When you can then apply the processes of the Grade flublessly you will be awarded your full permanent Hubbard Trained Scientologist Certificate.

    Length of course:
    Length of course:

    2 weeks full time

    2 weeks full time

    Section I: Keeping Scientology working

    Section I: Keeping Scientology working

    1. * HCO PL 7.2.65 Keeping Scientology working _____________
    1. * HCO PL 7.2.65 Keeping Scientology working _____________
  • * HCO PL 17.6.70R Technical Degrades _____________
  • * HCO PL 17.6.70R Technical Degrades _____________
  • Section II: Books

    Section II: Books

    1. Book: Problems of work _____________
    1. Book: Problems of work _____________
  • Clay Demo: What a Stable Datum is. _____________
  • Clay Demo: What a Stable Datum is. _____________
  • Booklet: Control and the Mechanics of SCS _____________
  • Booklet: Control and the Mechanics of SCS _____________
  • Demo: What control is composed of. _____________
  • Demo: What control is composed of. _____________
  • Book: Scientology: A new Slant of Life _____________
  • Book: Scientology: A new Slant of Life _____________
  • Book: SCN 0–8 Scientology Axioms 29–58 _____________
  • Book: SCN 0–8 Scientology Axioms 29–58 _____________
  • Section III: Charts and Scales

    Section III: Charts and Scales

    1. HCO PL 23.10.80 II Chart of Abilities gained for lower Levels and expanded lower Grades – Grade 1 Section _____________
    1. HCO PL 23.10.80 II Chart of Abilities gained for lower Levels and expanded lower Grades – Grade 1 Section _____________
  • 1980 Classification, Gradation and Awareness Chart of Levels and Certificates - Class I Auditor Section _____________
  • 1980 Classification, Gradation and Awareness Chart of Levels and Certificates - Class I Auditor Section _____________
  • Demo: The abilities gained for Grade 1. _____________
  • Demo: The abilities gained for Grade 1. _____________
  • Section IV: Codes

    Section IV: Codes

    1. HCO PL 14.10.68R The Auditor’s code _____________
    1. HCO PL 14.10.68R The Auditor’s code _____________
  • HCO PL 5.2.69R Code of a Scientologist _____________
  • HCO PL 5.2.69R Code of a Scientologist _____________
  • Section V: Practical Data

    Section V: Practical Data

    1. HCOB 16.8.71 RA II Training Drills Remodernized _____________
    1. HCOB 16.8.71 RA II Training Drills Remodernized _____________
  • HCOB 7.5.68 Upper Indoc TRs _____________
  • HCOB 7.5.68 Upper Indoc TRs _____________
  • BTB 22.5.71R TR 8 Clarification _____________
  • BTB 22.5.71R TR 8 Clarification _____________
  • HCOB 24.5.68 Coaching _____________
  • HCOB 24.5.68 Coaching _____________
  • Section VI: TRs

    Section VI: TRs

    Drill the following TRs per HCOB 16 Aug 71RA II “Training Drills Remodernized” and HCOB 7 May 68, ”Upper Indoc TRs”. On this section TRs 0-IV are redrilled with an eye to further polishing the student’s own natural TRs.

    Drill the following TRs per HCOB 16 Aug 71RA II “Training Drills Remodernized” and HCOB 7 May 68, ”Upper Indoc TRs”. On this section TRs 0-IV are redrilled with an eye to further polishing the student’s own natural TRs.

    1. OT TR 0 ___________
    1. OT TR 0 ___________
  • TR 0 ___________
  • TR 0 ___________
  • TR 0 BB ___________
  • TR 0 BB ___________
  • TR 1 ___________
  • TR 1 ___________
  • TR 2 ___________
  • TR 2 ___________
  • TR 2½ ___________
  • TR 2½ ___________
  • TR 3 ___________
  • TR 3 ___________
  • * TR 4 ___________
  • * TR 4 ___________
  • TR 6 ___________
  • TR 6 ___________
  • TR 7 ___________
  • TR 7 ___________
  • TR 8 ___________
  • TR 8 ___________
  • * TR 9 ___________
  • * TR 9 ___________
  • __________________________

    Section VII: Meter Drills

    Section VII: Meter Drills

    (From ”The Book of E-Meter Drills”. Also Ref: BTB 18.1.77R, ”Book of E-Meter Drills Deletion”)

    (From ”The Book of E-Meter Drills”. Also Ref: BTB 18.1.77R, ”Book of E-Meter Drills Deletion”)

    Note: On this section pink sheets are given for any earlier E-Meter Drill needing improvement.

    Note: On this section pink sheets are given for any earlier E-Meter Drill needing improvement.

    EM 6 ___________EM 14 ___________
    EM 6 ___________EM 14 ___________
    EM 7 ___________EM 15 ___________
    EM 7 ___________EM 15 ___________
    EM 8 ___________EM 16 ___________
    EM 8 ___________EM 16 ___________
    EM 9 ___________EM 17 ___________
    EM 9 ___________EM 17 ___________
    EM 10 ___________EM 18 ___________
    EM 10 ___________EM 18 ___________
    EM 11 ___________EM 19 ___________
    EM 11 ___________EM 19 ___________
    EM 12 ___________EM 20 ___________
    EM 12 ___________EM 20 ___________
    EM 13 ________________________
    EM 13 ________________________

    Section VIII: Data on Auditing

    Section VIII: Data on Auditing

    1. * HCO PL 27.5.65 Processing _____________
      1. * HCO PL 27.5.65 Processing _____________
      2. Tape 29.8.61 Basics of Auditings _____________
      3. Tape 29.8.61 Basics of Auditings _____________
      4. Clay Demo: Session control versus no session control and what happens in the pc’s bank. _____________
      5. Clay Demo: Session control versus no session control and what happens in the pc’s bank. _____________
      6. Tape 1.11.62 The Road to Truth _____________
      7. Tape 1.11.62 The Road to Truth _____________
      8. Tape 13.10.64 Cycles of Action _____________
      9. Tape 13.10.64 Cycles of Action _____________
      10. Clay Demo: The mechanics of a cycle of action. _____________
      11. Clay Demo: The mechanics of a cycle of action. _____________
      12. * HCOB 30.4.69 Auditor Trust _____________
      13. * HCOB 30.4.69 Auditor Trust _____________
      14. Demo: Auditor plus pc is greater than the bank. Auditor plus bank is greater than the pc. Pc minus auditor is less than the bank. _____________
      15. Demo: Auditor plus pc is greater than the bank. Auditor plus bank is greater than the pc. Pc minus auditor is less than the bank. _____________
      16. * HCOB 21.3.74 End Phenomena _____________
      17. * HCOB 21.3.74 End Phenomena _____________
      18. HCOB 10.12.76RB Scientology F/N and TA Position _____________
    2. HCOB 10.12.76RB Scientology F/N and TA Position _____________

    Section IX: Auditor must nots

    Section IX: Auditor must nots

    1. * HCOB 7.4.64 Q & A _____________
      1. * HCOB 7.4.64 Q & A _____________
      2. Demo: Q & A. _____________
      3. Demo: Q & A. _____________
      4. HCOB 7.5.69 The five GAEs _____________
      5. HCOB 7.5.69 The five GAEs _____________
      6. Demo: The five GAEs _____________
      7. Demo: The five GAEs _____________
      8. HCOB 26.10.76 Auditing Reports, Falsifying of _____________
    2. HCOB 26.10.76 Auditing Reports, Falsifying of _____________

    Section X: Styles of Auditing

    Section X: Styles of Auditing

    1. * HCOB 28.2.59 Analysis of cases _____________
      1. * HCOB 28.2.59 Analysis of cases _____________
      2. HCOB 6.11.64 Styles of Auditing, Level 1 Section _____________
      3. HCOB 6.11.64 Styles of Auditing, Level 1 Section _____________
      4. Look up:
      5. Look up:
        1. Repetitive Command Auditing;
          1. Repetitive Command Auditing;
          2. Repetitive Prozess;
          3. Repetitive Prozess;
          4. “Muzzled” Auditing _____________
        2. “Muzzled” Auditing _____________
      6. Demo: “Muzzled” Auditing _____________
      7. Demo: “Muzzled” Auditing _____________
      8. Drill: “Muzzled” Auditing until student is comfortable using it. _____________
    2. Drill: “Muzzled” Auditing until student is comfortable using it. _____________

    Section XI: Objectives/CCHs

    Section XI: Objectives/CCHs

    1. Look up:
      1. Look up:
        1. Objective Processes;
          1. Objective Processes;
          2. Subjective Processes _____________
        2. Subjective Processes _____________
      2. Clay Demo: The difference between an Objective and a Subjective process. _____________
      3. Clay Demo: The difference between an Objective and a Subjective process. _____________
      4. * HCOB 19.3.78 Quickie Objectives _____________
      5. * HCOB 19.3.78 Quickie Objectives _____________
      6. HCOB 19.6.78 Objective ARC _____________
      7. HCOB 19.6.78 Objective ARC _____________
      8. Drill: Objective ARC, until you can do it confidently. _____________
      9. Drill: Objective ARC, until you can do it confidently. _____________
      10. Tape 5.7.57 Basic Theory of CCHs _____________
      11. Tape 5.7.57 Basic Theory of CCHs _____________
      12. Tape 22.6.61 Running CCHs _____________
      13. Tape 22.6.61 Running CCHs _____________
      14. * HCOB 12.4.62 CCHs Purpose _____________
      15. * HCOB 12.4.62 CCHs Purpose _____________
      16. * HCOB 1.12.65 CCHs _____________
      17. * HCOB 1.12.65 CCHs _____________
      18. Demo: The purpose of each of the CCHs 1-4 _____________
      19. Demo: The purpose of each of the CCHs 1-4 _____________
      20. HCOB 2.8.62 CCH Answers _____________
      21. HCOB 2.8.62 CCH Answers _____________
      22. HCOB 7.8.62 Running CCHs _____________
      23. HCOB 7.8.62 Running CCHs _____________
      24. * HCOB 3.2.59 Flattening a Process _____________
      25. * HCOB 3.2.59 Flattening a Process _____________
      26. Demo: When you end off on an Objective Process. _____________
      27. Demo: When you end off on an Objective Process. _____________
      28. HCOB 5.4.62 CCHs Auditing Attitude _____________
      29. HCOB 5.4.62 CCHs Auditing Attitude _____________
      30. Clay Demo: Control _____________
      31. Clay Demo: Control _____________
      32. Clay Demo: Communication _____________
      33. Clay Demo: Communication _____________
      34. Clay Demo: Havingness _____________
      35. Clay Demo: Havingness _____________
      36. Drill: Using HCOB 1.12.65, ”CCHs”, drill CCHs 1-4. In doing the following drills, listen to an LRH Demo Tape on CCHs (or other Objective Processes) when drilling. _____________
      37. Drill: Using HCOB 1.12.65, ”CCHs”, drill CCHs 1-4. In doing the following drills, listen to an LRH Demo Tape on CCHs (or other Objective Processes) when drilling. _____________
        1. CCH 1-4 doll drill _____________
          1. CCH 1-4 doll drill _____________
          2. CCH 1-4 with Coach _____________
        2. CCH 1-4 with Coach _____________
      38. HCOB 11.6.57 Training and CCH Processes (Section on CCHs 5-10) _____________
      39. HCOB 11.6.57 Training and CCH Processes (Section on CCHs 5-10) _____________
      40. Drill:
      41. Drill:
        1. CCH 5 (doll drill /Coach) _____________
          1. CCH 5 (doll drill /Coach) _____________
          2. CCH 6 (doll drill /Coach) _____________
          3. CCH 6 (doll drill /Coach) _____________
          4. CCH 7 (doll drill /Coach) _____________
          5. CCH 7 (doll drill /Coach) _____________
          6. CCH 8 (doll drill /Coach) _____________
          7. CCH 8 (doll drill /Coach) _____________
          8. CCH 9 (doll drill /Coach) _____________
          9. CCH 9 (doll drill /Coach) _____________
          10. CCH 10 (doll drill /Coach) _____________
        2. CCH 10 (doll drill /Coach) _____________
      42. HCOB 4.2.59 Op Pro by Dup _____________
      43. HCOB 4.2.59 Op Pro by Dup _____________
      44. BTB 24.10.71R Op Pro by Dup, EP _____________
      45. BTB 24.10.71R Op Pro by Dup, EP _____________
      46. Drill: Op Pro by Dup, until you can run it confidently. _____________
      47. Drill: Op Pro by Dup, until you can run it confidently. _____________
      48. * PAB 97 1.10.56 Start – Change – Stop _____________
      49. * PAB 97 1.10.56 Start – Change – Stop _____________
      50. Drill:
      51. Drill:
        1. SCS on an object (doll drill /Coach) _____________
          1. SCS on an object (doll drill /Coach) _____________
          2. SCS on a body (doll drill /Coach) _____________
        2. SCS on a body (doll drill /Coach) _____________
      52. * PAB 34 4.9.54 Opening Procedure, SOP 8C _____________
      53. * PAB 34 4.9.54 Opening Procedure, SOP 8C _____________
      54. Drill: SOP 8C (doll drill /Coach) _____________
    2. Drill: SOP 8C (doll drill /Coach) _____________

    Section XII: Problems and Help

    Section XII: Problems and Help

    1. * HCOB 5.5.60 Help _____________
      1. * HCOB 5.5.60 Help _____________
      2. * HCOB 19.5.60 How Help became Betrayal _____________
      3. * HCOB 19.5.60 How Help became Betrayal _____________
      4. Demo: Help is the make-break point between sanity and insanity. _____________
      5. Demo: Help is the make-break point between sanity and insanity. _____________
      6. HCOB 31.3.60 The Present Time Problem _____________
      7. HCOB 31.3.60 The Present Time Problem _____________
      8. Look up:
      9. Look up:
        1. Problem;
          1. Problem;
          2. Present Time Problem _____________
        2. Present Time Problem _____________
      10. Clay Demo:
      11. Clay Demo:
        1. Problem _____________
          1. Problem _____________
          2. Present Time Problem _____________
        2. Present Time Problem _____________
      12. Tape 6.7.61 Routine 1A _____________
      13. Tape 6.7.61 Routine 1A _____________
      14. HCOB 6.7.61 Routine 1A _____________
      15. HCOB 6.7.61 Routine 1A _____________
      16. Tape 10.10.61 Problems Intensives _____________
      17. Tape 10.10.61 Problems Intensives _____________
      18. Tape 11.10.61 Problems Intensive Assessment _____________
      19. Tape 11.10.61 Problems Intensive Assessment _____________
      20. * HCOB 30.7.62 A smooth HGC 25 Hour Intensive _____________
      21. * HCOB 30.7.62 A smooth HGC 25 Hour Intensive _____________
      22. * HCOB 27.9.62 Problems Intensives use _____________
      23. * HCOB 27.9.62 Problems Intensives use _____________
      24. Tape 3.10.61 The Prior Confusion _____________
      25. Tape 3.10.61 The Prior Confusion _____________
      26. HCOB 2.11.61 The Prior Confusion _____________
      27. HCOB 2.11.61 The Prior Confusion _____________
      28. Clay Demo: The prior confusion and the problem _____________
      29. Clay Demo: The prior confusion and the problem _____________
      30. Wordclearing: Prepcheck; Prepchecking _____________
      31. Wordclearing: Prepcheck; Prepchecking _____________
      32. * HCOB 14.8.64 Prepcheck Buttons _____________
      33. * HCOB 14.8.64 Prepcheck Buttons _____________
      34. * BTB 10.4.72RA Prepchecks _____________
      35. * BTB 10.4.72RA Prepchecks _____________
      36. * HCOB 8.4.70 II More on Prepchecks _____________
      37. * HCOB 8.4.70 II More on Prepchecks _____________
      38. Drill: Prepcheck (doll drill /Coach) _____________
      39. Drill: Prepcheck (doll drill /Coach) _____________
      40. Drill: Problems Intensives (doll drill /Coach) _____________
      41. Drill: Problems Intensives (doll drill /Coach) _____________
      42. Tape 21.4.64 Problems and Solutions _____________
      43. Tape 21.4.64 Problems and Solutions _____________
      44. Clay Demo: Present Time Problem = no case gain _____________
      45. Clay Demo: Present Time Problem = no case gain _____________
      46. * HCOB 19.11.65 Problems Process _____________
      47. * HCOB 19.11.65 Problems Process _____________
      48. Drill: Problems Process (doll drill /Coach) _____________
    2. Drill: Problems Process (doll drill /Coach) _____________

    Student Theory Completion:

    Student Theory Completion:

    A: Student Attest:
    A: Student Attest:

    The following attest is to be signed off, point by point, before the student begins auditing Grade 1 Processes.

    The following attest is to be signed off, point by point, before the student begins auditing Grade 1 Processes.

    If the student has any question or reservation about attesting to any of the points below, he should retread himself in that area.

    If the student has any question or reservation about attesting to any of the points below, he should retread himself in that area.

    Only when the student has acquired these skills without questions will he or she achieve good results on Grade 1 Processes.

    Only when the student has acquired these skills without questions will he or she achieve good results on Grade 1 Processes.

    I attest that:

    I attest that:

    1. I know and can fully apply the Study Tech given in the Student Hat. _____________
      1. I know and can fully apply the Study Tech given in the Student Hat. _____________
      2. I have applied the Study Tech of the Student Hat fully while on this course. _____________
      3. I have applied the Study Tech of the Student Hat fully while on this course. _____________
      4. II have studied the books ”The Problems of Work”, ”Control and the Mechanics of SCS”, ”Scientology: A new Slant of Life”, ”Axioms und Logics” (Axioms 29-58) and understand them. _____________
      5. II have studied the books ”The Problems of Work”, ”Control and the Mechanics of SCS”, ”Scientology: A new Slant of Life”, ”Axioms und Logics” (Axioms 29-58) and understand them. _____________
      6. I understand the E-Meter and how to use it. _____________
      7. I understand the E-Meter and how to use it. _____________
      8. I have acquired good TRs 0 to 9 by drilling each to its EP. _____________
      9. I have acquired good TRs 0 to 9 by drilling each to its EP. _____________
      10. I understand and can run Objective Processes. _____________
      11. I understand and can run Objective Processes. _____________
      12. I have, without reservation, a good grasp of the materials of Level 1. _____________
      13. I have, without reservation, a good grasp of the materials of Level 1. _____________
      14. I understand and can apply “Muzzled” Auditing and can run a repetitive process by that method confidently. _____________
    2. I understand and can apply “Muzzled” Auditing and can run a repetitive process by that method confidently. _____________
    B: Exam:
    B: Exam:

    The student must fully pass an exam on the materials of this checksheet in the Qualification Division

    The student must fully pass an exam on the materials of this checksheet in the Qualification Division

    DIR. VALIDITY: ______________________________________DATE:_____________

    DIR. VALIDITY: ______________________________________DATE:_____________

    Auditing Section: Practical

    Auditing Section: Practical

    The student now is entitled to begin with student’s auditing of Grade 1 processes (and ARC Straightwire).

    The student now is entitled to begin with student’s auditing of Grade 1 processes (and ARC Straightwire).

    Reference:

    Reference:

    Nobody may or can demand that the student audits processes which are above his level of training. If a case needs processes of a higher level, students of higher levels shall be ordered to audit these actions.

    Nobody may or can demand that the student audits processes which are above his level of training. If a case needs processes of a higher level, students of higher levels shall be ordered to audit these actions.

    From the prospective auditor is expected that he drills and understands every process of grade 1 before he goes in session (see HCOB 4.7.62 COACHLESS TRAINING USE OF A DOLL)

    From the prospective auditor is expected that he drills and understands every process of grade 1 before he goes in session (see HCOB 4.7.62 COACHLESS TRAINING USE OF A DOLL)

    1. Audit at least one pc on each if the processes of Level 1 to the EP of each process and the attainment of the ability gained for the level or produce consistent well-done auditing hours in the style of auditing taught on Level 1 to a definite good pc result (remarkable case change). ______________
      1. Audit at least one pc on each if the processes of Level 1 to the EP of each process and the attainment of the ability gained for the level or produce consistent well-done auditing hours in the style of auditing taught on Level 1 to a definite good pc result (remarkable case change). ______________
      2. Get any errors of misunderstandings on successfully applying grade 1 processes reviewed and corrected. ______________
    2. Get any errors of misunderstandings on successfully applying grade 1 processes reviewed and corrected. ______________
    Attest:
    Attest:

    I attest that I have successfully fulfilled the auditing requirements for certification on level 1, as given above.

    I attest that I have successfully fulfilled the auditing requirements for certification on level 1, as given above.

    Student Attest: _____________________________________________Date: _________________

    Student Attest: _____________________________________________Date: _________________

    I attest this student has successfully fulfilled the level 1 auditing requirements for certification, as given above, and has demonstrated his competence in auditing the style of this level.

    I attest this student has successfully fulfilled the level 1 auditing requirements for certification, as given above, and has demonstrated his competence in auditing the style of this level.

    Supervisor Attest: ___________________________________________Date: _________________

    Supervisor Attest: ___________________________________________Date: _________________

    Student Course Completion

    Student Course Completion

    I have completed the requirements of this checksheet and I know and can apply the materials.

    I have completed the requirements of this checksheet and I know and can apply the materials.

    Student Attest: _____________________________________________Date: _________________

    Student Attest: _____________________________________________Date: _________________

    I have trained this student to the best of my abilities and he/she has completed the requirements of this checksheet and knows and can apply the checksheet data.

    I have trained this student to the best of my abilities and he/she has completed the requirements of this checksheet and knows and can apply the checksheet data.

    Supervisor Attest: ___________________________________________Date: _________________

    Supervisor Attest: ___________________________________________Date: _________________

    Student Attest at C&A
    Student Attest at C&A

    I attest:

    I attest:

    1. I have enrolled properly on the course.
      1. I have enrolled properly on the course.
      2. I have paid for the course.
      3. I have paid for the course.
      4. I have studied and understand all the materials of this checksheet.
      5. I have studied and understand all the materials of this checksheet.
      6. I have done all the drills on this checksheet.
      7. I have done all the drills on this checksheet.
      8. I can produce the results required in the materials of this course
    2. I can produce the results required in the materials of this course

    Student Attest: _____________________________________________Date: _________________

    Student Attest: _____________________________________________Date: _________________

    C&A: ____________________________________________________Date: _________________

    C&A: ____________________________________________________Date: _________________

    Student informed by Qual Sec of C&A:
    Student informed by Qual Sec of C&A:

    I hereby attest that I have informed the student that to make his provisional certificate permanent he will have to be interned within one year.

    I hereby attest that I have informed the student that to make his provisional certificate permanent he will have to be interned within one year.

    Qual Sec or C & A: _________________________________________ Date: _________________

    Qual Sec or C & A: _________________________________________ Date: _________________

    Certs & Awards
    Certs & Awards

    Certificate of Hubbard Trained Scientologist (Class 1) (provisional) issued.

    Certificate of Hubbard Trained Scientologist (Class 1) (provisional) issued.

    C & A: ___________________________________________________ Date: _________________

    C & A: ___________________________________________________ Date: _________________

    (Route this form to Course Admin for filing in Student’s folder.)

    (Route this form to Course Admin for filing in Student’s folder.)

    END OF CHECKSHEET END OF CHECKSHEET