Phil Parker Training Institute
( formerly European College
Holistic Medicine)
Application form. For either Diploma in Hypnotherapy, NLP and
Life Coaching course
First Name Name you wish to be called if different
Surname
Address
Post code
Tel home
Tel work
Email
My preferred start date is………………
About you (this helps us to ensure the course is suitable for your needs, gives
a sense of who you are and your areas of expertise);
Sex M F Date of Birth Occupation
What you hope to get from doing the course
Relevant past experience in relationship to becoming a hypnotherapist, NLP practitioner
& Coach
What do you feel are your current strengths in relationship to becoming a hypnotherapist,
NLP practitioner & Coach
Any particular areas or personal issues you will need to work on in relationship
to becoming a hypnotherapist, NLP practitioner & Coach
What experience, if any have you had of hypnotherapy, NLP and coaching
Payment details;
Fee for Diploma in Clinical Hypnotherapy, NLP & Coaching Course
The total fees (for both your tuition and clinical supervision) are £3950 (
£3361.71 plus vat)
You will need to send a booking fee of £450 with your application form. This
will not be cashed until you are accepted onto the course
The remaining balance of £3950
can be paid in a lump sum or in instalments see application form for details.
It is also possible to pay
for the course by credit card, although there is an additional credit card processing
fee due if you choose to pay this way. Please click here (http://www.lightningprocess.com/Default.aspx?tabid=277)
to pay in this way when you have been accepted onto the course. Total fee when paying
by card is £4065 (Course fees are £3950 including vat, plus a credit card processing
fee (which is 2.9 % + .50p).).
Our Vat Number is 898786913
Dvd's of the course can be
purchased at £20 (£23.50 including vat) per module.
Please choose ONE payment option
q I enclose my booking fee of £450- I
would like to pay the balance of £3500 in full before the course
q I enclose my booking fee of £450 by
10 post dated cheques (£395), dated for each weekend.
qI wish to pay the fees in full by Credit
card
Make all above cheques payable to PPT LTD
Please ensure all cheques have full cheque card details written on the back
of each one.
There is a separate examination fee (£90) payable to your examiner at
then end of the course
Conditions of payment- must be signed
before your application can be accepted
Once paid fees can not be refunded in the event of a cancellation on your part;
this is because we run small group trainings with limited spaces; if you take
up a space and cancel, no one else will be able to fill it once the course starts
The college reserves the right to terminate your training at any point if it
feels it is not appropriate for you to continue, (this has never happened so
far, but is a necessary and standard condition when training candidates to become
members of all health care professions) your fees will not be refunded.
As part of our on going support and assessment of candidate during the course,
we may recommend that individuals seek coaching/therapy outside of the course
to assist in their development.
If you agree to the above conditions please fill in and sign the following declaration..
I …………………………..understand and
agree that once I pay my fees to the college and supervisors they can not be
refunded, and agree to adhere to the above conditions. (signature)………………………………….
Please send me to
The Registrar, European College of Holistic Medicine
Phil Parker Training Institute HOUSE, 170 Weston Park, Crouch End London N8 9PN
020 83419800
ppt@philparker.org
Our Vat Number is 898786913