______________________________________________________________________________
______________________________________________________________________________
ADDITIONAL SPECIALTY CERTIFICATES ($100 each - 1 time only):_______________________________________
Check desired specialty(ies) - Include requirements
IHF Fellow Instructor/ Trainer/ Coach Researcher /School/ Institute/ Center Speaker Stage/ Media Writer/ Journalist
Additional/Optional 25 Words for EACH SPECIALTY: use extra sheet if needed______________________________________________________________________________
CODE OF ETHICS - Read and Sign
Each Member must agree to abide by the following Code of Ethics. Please read, sign and date.
1. Commitment to Human Welfare: Honors the holistic well being of the individual.
2. Positive Programming: Provides verbal and non-verbal techniques in hypnosis and their other specialties.
3. Modality Interaction: Agrees to work together with others to broaden and improve uplifting mind, body, spirit & joy modalities.
4. Legal Conformity: Observes professional, legal and ethical standards of their conscience, affiliations and society. Legal alternative health care
providers will disclose that they are not licensed health care providers.
5. Truth in Advertising: Shall not overstate credentials or make unsubstantiated claims.
6. Confidentiality: Maintains the confidentiality and privacy of session information as is acceptable under the law.
PAYMENT
Check / Money Order (US currency only)
Visa MasterCard AmerExpress
Card # ____________________________________
Expiration Date ____________________________
Card Address (if different than above)
ANNUAL DUES $65
(Annual Renewal of $65 from April 1 to April 1)
Number of Specialties ____ @$100 = $_____
TOTAL PAYMENT $
Your Signature: ________________________________________________Date:______________
The IHF reserves the right to deny, suspend or cancel membership for anyone who, in their judgment, does not comply with these ethics.
IHF PRESIDENT:
Shelley Stockwell-Nicholas, PhD
IHF BOARD OF ADVISORS:
Charlene Ackerman, CHt
Beverley S. Bley, LPN, CMHt
Helene Feldman, DCH
Jaime Feldman, DCH
Frank Genco, CHt
Irv Katz, PhD
Jillian LaVelle, CHt
Jon Nicholas, CHt
Richard Neves, PhD
Suzy Prudden, CHt
Richard Sutphen, PhD
Tara Sutphen
Niccolous Thompson, CHt
Judy Umansky, RN, CHt
James Wanless, PhD
HONORARY MEMBER:
Ormond McGill, PhD
MAIL THIS APPLICATION TO:
International Hypnosis Federation®
30819 Casilina Drive
Rancho Palos Verdes, CA 90275-6205
(310) 541-4844
International Hypnosis Federation®
30819 Casilina Drive, Rancho Palos Verdes, CA 90275-6205
ihf@cox.net ? www.HypnosisFederation.com
Phone: (310) 541-4844
IHF Membership Application
100% Dedicated to YOU? Join Today
As an International Hypnosis Federation member, you’re part of a highly respected, global organization committed to
personal growth, education and promotion. Everything IHF does is geared toward bringing YOU joy and success.
Membership is open to everyone interested in Mind, Body, Spirit, Love, Abundance and FUN.
MEMBER BONUSES:
PRESTIGIOUS CERTIFICATE
The Hypnosis Federation’s distinguished certificate on your wall shows everyone that you are an honored Member of the
International Hypnosis Federation® (IHF)
JOYFUL EDUCATIONAL OPPORTUNITIES
Delight in exhilarating International courses with cutting edge techniques that enhance your life, relationships and work.
You will receive your quarterly Hyp-News Newsletter.
STOCKWELL-NICHOLAS’ JOY CONFERENCE
Attend our annual Southern California Conference in July and enjoy over 40 world-class presenters. Earn selfsatisfaction,
certification and approved CE’s for Hypnotists, Registered Nurses, Marriage & Family Therapists,
Social Workers and Psychology Researchers.
NETWORKING
Network with top people in the Human Potential Movement.
PROFESSIONAL PROMOTION
Free Referrals
If you like, you will be listed on our WebSite: www.HypnosisFederation.com.
Free Publicity
Print, Radio, TV and the IHF Referral Directory promotes those that want publicity.
Reach More People
Submit articles or advertise in our Hyp-News Newsletter or start a local IHF Chapter.
Liability Insurance and Legal Forms For Practitioners
We offer YOU up-to-date safeguards like our Alternative Healthcare Provider Disclosure Forms, legal requirements
and liability insurance through Lloyds of London.
AFFILIATE INSTRUCTOR & SCHOOL PROGRAM
We certify IHF Instructors at reasonable rates and then certify their students.
ADDITIONAL SPECIAL RECOGNITION (optional)
For a one-time-only fee of $100 each and Board Approval, you can receive certified recognition from the IHF as a:
FELLOW: Requires 5 yrs in the field and passing our Fellow exam (to be sent)
INSTRUCTOR/ TRAINER/ COACH: Board approved curriculum and signed IHF agreement
RESEARCHER: Provide outline of your research
SCHOOL/ INSTITUTE/ CENTER: Board approved curriculum and signed IHF agreement
SPEAKER: Send audio &/ or video tape
STAGE/ MEDIA PERSONALITY: Submit demo or proof of your work
WRITER/ JOURNALIST: Submit sample of your writing