Diploma course application form

Diploma Course Application

Please complete the application form below to register your interest in a place on our upcoming Hypnotherapy Diploma course. Be aware that this is the first stage of the application process, and filling in the application form does not guarantee your place on the course. We will contact you directly within 48 hours after receiving your application in order to arrange a short telephone interview.

Contact details

Your full name

Your contact number (mobile)

Your contact e-mail address

Personal details

Your age

Your current occupation

Why do you want to join this course?

Fitness to practice declaration

I confirm that I have never suffered with any mental health conditions or psychological issues including bi-polar, schizophrenia, clinical depression, general anxiety disorder, PTSD/unresolved past trauma, uncontrolled panic attacks, epilepsy/uncontrolled seizures.*

*If box left un-checked, please provide further details

Any additional health issues that might affect your studies?

Course date

Your chosen course start date

Discount eligibility

Terms of application

I understand that this course is highly participative and that I will need to work on other students and be worked with by other students.

I understand that a minimum of 120 hours classroom attendance is required in order to receive certification, and if miss a day/weekend I will need to have a catch-up session to make up my hours. I further understand that catch-up sessions are at an additional cost of £90 per day missed for the first 3 days missed, then £30 per hour missed for each additional hour required.

I understand that there is a homework requirement of 330 hours that must be completed and all homework must be submitted (by email) by weekend 9 of the course. I further understand that all homework must be submitted and all examinations successfully completed in order to receive certification.