Advanced Hypnotherapy Application
This training is designed for the professional dedicated to a high level of integrity and skill. This application is a mastermind cohort designed for the self aware facilitator who isn’t afraid to look in the mirror and evolve along with their peers and future clients.

Upon completion of training modules and practicums, graduates will be certified facilitators with the skills necessary to guide clients through transformative and life changing sessions. Eligible graduates will also be featured in a directory listed at www.FallyKlein.com

In order to give us a better understanding of who you are and why you are a fit for this program, please be as detailed as possible in the application below. 
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Email *
What is your name *
Cellphone number *
Address: (include street, city, state and zip) *
Full date of birth (month, day, year) *
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Who referred you to this training? Where did you hear about us? 
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Have you ever attended an Ayeh (or men's equivalent) workshop? 

Please list below and dates you attended:
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When did you participate in Vessel of Truth? *
What is your interest in hypnotherapy? *
What most excites you about this training? *
More than just certifying as a hypnotherapist, what do you hope this training experience can do for you? *
What unique elements do you feel you bring to the upcoming cohort? How will the group gain from your presence in the class? *
What other licensure or certifications do you currently have?  *
You are applying for an intensive ten month training. Are you anticipating any big life changes within the next twelve months? (Marriage, birth etc.) *
What are your fears around this training? *
Do you have any diagnosed mental health conditions? *
Are you currently under the care of a doctor for any physical conditions? *
List any medications you are currently taking *
What are some mental health and self care practices you have in place for yourself? *
Do you have a rav/mentor/therapist/someone you reach out to consistently for guidance? Please tell us more. *
What else would you like to share with us? *
A $497 deposit is required to book your interview. This deposit is non refundable and will be applied towards your course tuition upon acceptance to the program. 

Should you not be a fit for the program, your deposit will be returned. 
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Upon acceptance to the program, students commit to completing both modules.  Tuition is non refundable once training has begun.  *
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