Application for School Approval

School name *

Director's name *

Mailing address

Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry

Email *

School website *Start with http://

Business phone *

Home phone

Total number of program hours *Please indicate the total number of hours in your program. (Minimum of 200)

Categories *

Indicate hours in each category totaling program hours: 1. Classroom hours 2. Homework / home study hours 3. Live online instruction 4. Video instruction

Required documents

Along with your application fees,email a copy of the following to hypnotistexaminers@gmail.com Please check the documents that you will be sending.Your school catalogOutline of the classes you offerCopies of State authorizations, authorization of service (where applicable)Biography or CV for school director and all core instructors.

Fees *

Once you submit this form you will be taken to PayPal for payment.School Approval - $100Certified Instructor - $25 eachCertified Instructors 2@ $25 eachCertified Instructors 3@ $25 eachDesignated Examiner - $25 eachDesignated Examiner 2 @ $25 each

ACHE Certification *

All hypnotherapy instructors (teaching the core program) are required to maintain their personal ACHE certification.I am currently ACHE certifiedI am not ACHE certified

Instructor's names

Please list any instructors who will be teaching in your core program. (initial 200 hours)

Application for School Approval

Verification

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