NLP Enrollment | New York Hypnosis Training Center

NLP ENROLLMENT FORM

Print Full Name (as it will appear on the certificate)
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Home Phone
Cell Phone
Email
SS Number (last four digits)
Date of Birth
Gender
- Female
- Male
Highest Level of Education
Occupation
Indicate Level of Training Applied For:
- NLP Practitioner Level I Certification (NLPP-1)
- NLP Practitioner Level II Certification (NLPP-2) (Pre-req Level I)
Why are you seeking this training?
Describe any related training or experience.
Name of Student
The above-listed school and student enter into agreement in which the student will pay tuition and fees as indicated below as well as adhere to the school's rules and regulations as set forth in the school catalog. The school will instruct the student in the curriculum listed below in accordance with Education Law and Commissioner's Regulation.
Private Training Fee: Enrollment Fees for Private Training for NLPP-1 and NLPP-2: $ 100 nonrefundable registration fee $ 200 books and supplies $ 300 total deposit due upon signing the enrollment agreement $1,500 full tuition $1,800 total due 10 days prior to the start of class.

New York Hypnosis Training Center does not offer job placement. There are no scholarships.

School Hours of Operation: 9:00 am – 6:00 pm (on days that classes are in session)

Refund Policy: A student who cancels within 7 days of signing the enrollment agreement but before instruction begins receives all monies returned with the exception of the non-refundable registration fee. Thereafter, a student will be liable for: * The non-refundable registration fee * The cost of any textbooks or supplies accepted * Tuition liability as of the student’s last date of physical attendance. (Tuition liability is determined by the percentage of the program attended by the student.) * If private lessons are requested by the student (to make up any missed classes) the fee will be $65 above the cost of the course.
I pledge to use my certification training for the betterment of others, as per their request, and/or for my own self-improvement. I pledge to conduct myself as a professional in strict accordance with all existing laws as well as the National Federation of Neuro Linguistic Programming (NFNLP) Code of Ethics and Standards of Practice. I agree to comply with the conditions of this enrollment agreement. I hereby verify that I have received copies of, and have read, the enrollment agreement, the disclosure statement, as well as the school catalog.
Student Signature
Date
Date Format: MM slash DD slash YYYY
Start Date
Expected Completion Date
The agent who enrolled me was:
Cert #
Student Signature
Date
Date Format: MM slash DD slash YYYY
I have received a copy of the Student Disclosure Material.
Student Signature
Date
Date Format: MM slash DD slash YYYY
Accepted for the school by
Date
Date Format: MM slash DD slash YYYY
(Entrance Requirement Documentation Received)