info@hypnotherapytrainingkent.co.uk
I hereby apply for a position on the Practitioner Level Diploma course in hypnotherapy. I understand that acceptance is not automatic and I can be refused admission for any reason. I understand that if the course is cancelled I will receive a refund of any money paid that is outstanding. I agree to take part in practical demonstrations of Hypnosis and hypnotherapy as part of the course syllabus and training, I confirm that all of the information I have submitted is true and correct to the best of my knowledge. I confirm that should I commence in private practice I will take out professional liability insurance to a minimum value of £2,000,000. I understand that upon completition of the course and satisfactory pass marks I will be awarded a diploma in Hypnotherapy and entitled to use the initials D.Hyp-Psy after my name. Awarding of the diploma does not confer automatic right of admission to any professional body but is recognised by the General Hypnotherapy Standards Council as eligible for membership. I certify that I have read and understood all of the above course prospectus and conditions. I enclose my enrolement deposit of £250
Enrolment Form
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indicates required fields
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Full Name:
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Full Address:
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Phone:
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Email:
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Date of Birth:
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Current Job:
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Reason for joining course:
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Any previous experience of hypnotherapy?:
Yes
No
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Have you ever suffered from depression?:
Yes
No
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Have you suffered or been diagnosed bi-polar?:
Yes
No
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Have you been diagnosed schizophrenia?:
Yes
No
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Have you ever suffered from epilepsy?:
Yes
No
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If you answered yes please provide details:
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Have you undergone Hypnosis/Counselling berfore?:
Yes
No
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If yes,details:
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Do you have any criminal convictions?:
Yes
No
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If yes,details:
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Educational Qualifications:
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Course dates you are interested in:
April 2008 FULL
September 2008 Open
April 2009 Open
September 2009 Open
