Certified Hypnotist Training - Get on the Waiting List for My Next Class

My current 2020 Class ends on May 2, 2020 and I will be deciding when to offer the next depending on interest. So if you are interested, please fill out this form and I will get back to you and keep you updated as we get closer to the start date. At the latest it will be January 2021, but likely sooner. The location will be Barrington, Rhode Island. 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.

If you fill in this application before I schedule the program you will qualify for an early early application discount of $400 off the $2150 regular tuition. 



 


PLEASE HIT "FINISH" AT THE BOTTOM OF THE APPLICATION IF YOU WANT TO COMMIT REGARDLESS OF THE START DATE - YOU WILL BE DIRECTED TO A SECURE ONLINE CREDIT CARD PAYMENT SERVICE WHERE

 
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.

I have run this class on Saturdays only - but am considering a mix of four Saturdays and maybe 12 week nights. What would work best for you as I consider when to schedule. 

 

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3.
How do you plan to be handling payment if you decide to attend (at minimum a deposit of $500 must be received prior to the course start to qualify for the $1850 tuition - includes $300 discount for early enrollment.
I will likely use a credit card
I will likely pay the balance by check
I will likely pay the balance in cash
I need to talk with you about a "payment plan" for the balance
Other  
4.
I heard about this program:
From your webpage
From The National Guild of Hypnotists
From a friend or associate
A print advertisement
An advertisement or posting on facebook
Other  
  • Comment:

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5.

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

 

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6.
Your gender (optional)?
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:

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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:

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

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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:

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

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