Application to become an Accredited Goulding SleepTalk® Consultant

First name

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Address

Last name

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How did you hear about this course?

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My current and main occupation is

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I am a practising member of an appropriate and relevant professional association. (Please provide the name of your professional associations )

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Professional Information – Select all that apply:

Have you been found guilty of any offence in Australia or overseas?

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	Yes

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Have you been refused admission to or been asked to withdraw from a professional association or registration board?

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	Yes

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Are you aware of any formal complaints of professional misconduct having been made to any professional association, organisation or registration board against you?

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Are there any complaints of professional misconduct currently under investigation in relation to your current/past work?

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Thank you for apply. Your registration will be complete when you have done the paiment.
Your regular investment to attend the three Units of SleepTalk® Consultant training and become a Certified Consultant, would be ~~$1596~~.
If you finish your application now, you are entitled to save with our Super-Early Bird Special and
pay only $319 NOW
and the rest in two easy fortnight payments.

Your training will be held at the Academy of Hypnotic Science, 44 Station Rd, Cheltenham VIC 3192
Training dates:
Unit 1: 11 November 9am-5pm
Unit 2: 25 November 9am-5pm
Unit 3: 2 December 9am-5pm

We will email you all the needed informations once you finalized your registration.