Certified Hypnotist Training - Application for March 2018 Class

My next Certification Class will start in March 2018 (Mondays 6:30-9:30) with six Saturdays 9-5 (see website for complete listing).  Successful completion of the program will result in award of the title Certified Hypnotist or Certified Consulting Hypnotist by the National Guild of Hypnotists with one year pre-paid dues. John Koenig is a Certified Instructor of the National Guild of Hypnotists. The fee for the course is $2150 which includes instruction, workbook and a certification certificate with professional membership prepaid for 12 months in the National Guild of Hypnotists. SAVE $300 with early enrollment (only $1850). 

There is a $500 deposit to reserve your place in the class ($250 of which is non-refundable). 

 

 Click here to

 
1.
Please enter the information indicated below.

First Name:
Last Name:
Work Phone:
Home Phone:
Email Address:
emailaddress@xyz.com
Address 1:
City:
State/Province
(US/Canada):
Postal Code:

2.

What is the best day, time and number for me to call ? We must talk on the phone or meet in person before you will be accepted to the class.

 

350 characters left.
3.
How do you think you be handling payment (at minimum a deposit of $500 must be received prior to the course start to qualify for the $1850 tuition)?
I will likely use a credit card
I will likely pay by check
I will likely pay in full ($2150) as we get close to the class
I will likely pay $500 deposit a month or so before the first class (balance to be paid before first class)
Other  
4.
I heard about this program:
From your webpage
From The National Guild of Hypnotists
From a friend or associate
An print advertisement
An advertisement or posting on facebook
Other  
  • Comment:

  • 500 characters left.
5.

What is your date of birth (month, day and year)?

 

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6.
Your gender?
Female
Male
7.
Please indicate your experience with hypnosis.
Never been hypnotized
Hypnotized once (or a few times) for a single issue like quitting smoking
Hypnotized multiple times for various issues
One of your clients (or former clients)
Have been practicing hypnosis as an amateur
Long-term practitioner or self-hypnosis
Other  
  • Comment:

  • 500 characters left.
8.
How do you intend to use this training and certification?
Full-time career
Part-time business
Adjunct to another practice (mental health counselor, energy worker, massage therapist, etc)
Personal growth (not professional)
Not sure yet
Other  
  • Comment:

  • 500 characters left.
9.
Please describe your motivation for taking this training and being certified as a hypnotist.
 

1000 characters left.
10.

Please check your highest educational level and describe (majors and other certifications in the space below)

High School
Associate's Degree
Bachelor's Degree
Master's Degree
Doctorate
Other  
  • Comment:

  • 500 characters left.
11.
Have you been convicted of a felony? 
No
Yes
  • Comment:

  • 500 characters left.