Application Page Midwest Training Institute of Hypnosis First Name Last Name Email On which number we can reach you Work Phone Home Phone Address State Zip Code Citizen Of Date of Birth Ever Convicted of Felony Ever Convicted of Felony Yes No List Prior Education Current Occupation Which Course You are Interested in Which Course You are Interested In 101 Basic Hypnosis for $997 102 ART Analytical Regression Therapy for $1997 103 Medical Hypnosis for $997 Submit