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Hypnosynchrony Program Applicaiton

Full Name

Email Address

Contact Phone

Referred by

What interests you about becoming professionally certified in hypnosis?

Tell me a little about the work you do now if you have an existing wellness practice.

How do you currently envision using hypnosis?

Standalone Hypnosis Business

Addition or Integration with My Current Wellness Practice

In Facilitation of Workshops or Groups

As an Addition or Integration in Retreats or Intensives

Professional/Personal Development

Not Sure Yet

This is an experiential professional training that requires live attendance, practice with other students, independent study, and active participation. Are you prepared to commit to those requirements? Yes, I'm Not Sure, and I Need More Information are valid responses.

Is there anything you'd like me to know as I consider your application?

I understand that submitting an application does not guarantee acceptance or reserve my place in the program. Enrollment is complete once I have been accepted and my enrollment deposit or tuition has been received.

Yes