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Clinical Hypnosis Certification Application

Thank you for your interest in the Clinical Hypnosis Certification training program.

Because this is a professional certification program, enrollment begins with a brief application. This gives me an opportunity to learn a little about your professional background, your goals, and how you plan to use hypnosis, and helps us both determine whether the program is a good fit.

The application takes less than five minutes to complete. Submitting an application does not obligate you to enroll, and there is no high-pressure sales process. Once I've reviewed your application, I'll contact you personally with next steps and answer any questions you may have.

 

Let's get started.

Please answer the following questions as completely as you can. You'll also have an opportunity to submit any questions you have about the certification.

Start

Question 1 of 11

Please enter your first and last name.

Question 2 of 11

Please confirm your best email address.

Question 3 of 11

Please confirm your phone number. (This is optional. Please enter if you would like to schedule a call with Barb Davies)

Question 4 of 11

Where are you located (City, Country) and which time zone are you in?

 

 

Question 5 of 11

Which of the following best describes your situation?

A

I'm looking for a career change and want to become a Certified Professional Hypnotist.

B

I’m a licensed mental health professional who wants to add hypnosis to my skills and become certified as a Clinical Hypnotherapist.

C

I’m a coach who wants to incorporate hypnosis and NLP into my coaching practice.

D

I’m a certified hypnotist who wants to improve my skills and build my business.

E

I’m unsure of my professional goals, but I want to learn everything I can about hypnosis for personal development.

Question 6 of 11

Which program are you most interested in?

A

Certified Professional Hypnotist / Hypnotherapist Program (100 Hours)

B

The Refresher course (I'm already certified as a hypnotist or hypnotherapist)

C

The VIP Certified Professional Hypnotist / Hypnotherapist Program (100 Hours + Private Coaching)

D

I'm unsure and would like to talk to you about the differences in the programs

Question 7 of 11

What do you want to achieve as a result of taking this training? (e.g. learning how to help clients achieve rapid transformations, income goals, scaling your business, area of specialty, etc.)

Question 8 of 11

I certify that I am at least 18 years of age, I have a high school diploma, and I’m emotionally and cognitively able to help other people. I have not been convicted of any criminal offenses that would be outlined on a criminal record check and/or vulnerable sector check. 

I agree with this statement.

(Select all that apply)
A

Yes

B

No

Question 9 of 11

If you enroll into this program, do you require any learning and/or accessibility accommodations?

Question 10 of 11

How soon can you get started?

 

(Please note we may schedule additional classes if enough students are ready to register.)

A

Immediately

B

I'm not ready. Please notify me about your next program.

C

I haven't made a decision yet.

Question 11 of 11

Do you have any questions about the program(s) you would like answered?

Confirm and Submit