Name

 

Any previous experience of Hypnosis?  Y   N

Occupation

Address

 



 

 

 

Do you have any criminal convictions that could have a bearing on your application? (not including any spent convictions)

 

Post Code

 

Date of Birth:

 

Tel Number:      

 

Email:

 

Qualifications

Post Grad

Degree

Diploma

High School

 

 

 

 

 

 

 

 

 

 

 

Best time and day for an interview?

 

 

 

How did you hear about this course?

 

 

Do you have any Physical Disabilities? (If yes, explain fully)

 

 

Do you have currently or have any history of psychiatric illness? (If yes, explain fully)

 

What emotional support will you have throughout your time on the course? e.g. friends, family, peers, therapist etc.

 

 

Do you suffer from any of the following? (If yes, explain fully)

Asthma, Diabetes, Epilepsy, Heart Problems

 

Please tell us what attracts you to studying Hypnotherapy?

 

 

 

 

 

 

 

What qualities do you think a therapist requires?

 

 

 

 

 

 

 

What was the most challenging experience of your life and how did you get through it?

 

 

 

 

 

 

 

How do you plan to use your qualification when you complete the course?

 

 

 

 

 

 

 

Payment Terms & Conditions

á  Course Fees are £1800 (no VAT is charged). A non-refundable deposit of £180 must be paid if you are accepted onto the course to hold your place. Then 9 monthly payments of £180 are to be made by standing order. Alternatively, if you pay the complete fees on day one of the course you will receive a discount of £140. Complete Course fees must be paid whether each weekend is attended or not.

á  Course attendance rate must be 80% or more to pass. Two NLP weekends must be fully attended to gain the certificate.

á  The HPD Portfolio work must be submitted and must attain the desired standard to pass the course.  No certificates will be issued otherwise.

á  Trainees are expected to take part in all practical exercises throughout the course. These exercises form part of on- going assessment.

á  Trainees agree to keep confidential, any personal matters discussed during the course.

Trainees agree to treat each other and their trainers respectfully. Hypnosis Scotland Ltd asserts the right to ask a trainee to leave the course, if that person is deemed to have behaved unethically or unsafely within the bounds of the NCH Standards and Ethics. No fees will be refunded in this case.

Please Post this application to:

 

Hypnosis-Scotland Ltd

13 Mannerston Holdings

By  Linlithgow

West Lothian

EH497ND

 

Or email it to hypnoscotland@gmail.com