Application & Agreement

To Enroll

If you wish to enroll you must file an application. Call or E-Mail the institute for an application or print the form below. Complete the application and send it in along with a $50.00 non-refundable application fee. “Cashier’s Check, Bank Money Order, Visa or Master Card are accepted.

Please submit all your transcripts and prior educational information for evaluation to

Midwest Training Institute of Hypnosis
1504 Kenwood Ave
Fort Wayne, In 46805-2635

Applications must be completed to be accepted for evaluation. The student will be informed as to his or her status after completion of evaluation.

Enrollment to a class must be completed within thirty (30) days of acceptance. Late applications will incur additional processing fees.

Financing is available for those qualify.


  1. Send in completed and sign application form.
  2. Enclose (2) passport photos.
  3. Send notarized copies of transcripts, certificates and other documents to be considered in your evaluation.
  4. A $50.00 U.S.D. non-refundable application fee must accompanying application.
  5. Fee must either be a check, cashier’s check, money order or Visa or Master Card.
Enrollment - Application
Enrollment Agreement

If you have questions either Email or call the institute at 260-484-6627