SASH Course 2020 Application Form

Please enter your information in the form below to apply for the 2020 SASH Postgraduate Training in Clinical Hypnosis.

Application Form

Name*
First Last
Address*
Address Address Line 2 Suburb State Postcode
Phone*
Email*
Tertiary Qualifications and Institution
AHPRA Registration and Specialty
Practice Discipline
Practice Institution
Job Title 1
Job Title 2
Employment
- Full Time
- Part Time
- None
Previous Experience
Please provide us with details of any previous training or experience you have in using Hypnosis
Your Goals
Please provide us with details of your primary goals for learning how hypnosis can be utilised in you practice
How did you hear about the SASH Course?
Dates unable to attend
Dietary Requirements
- Vegetarian
- Gluten Free
For other dietary requirements you are welcome to bring your own food and use the kitchen facilities. Our food is prepared in a commercial kitchen and transported to us, so we cannot guarantee there has been no exposure to allergens.
Payment Type
- Full Payment
- Deposit Payment
- Expression of Interest (no payment)
SASH Bank Account details will appear on the next page
Comments
Email
This field is for validation purposes and should be left unchanged.