Funk'tional Nutrition Academy Application

1
What's your name?
First Name
Last Name
2
What's your email so we can hit ya back ASAP?* This field is required.
example@example.com
3
How did you hear about us?
Funk'tional Nutrition Podcast
Social Media (Facebook/Instagram)
Website/Google
Online Forum
I was referred/recommended to join FNA
4
Awesome! Can you let us know who referred you?
5
Awesome! Can you let us know which forum?
6
What is your occupation?* This field is required.
Registered Dietitian
Nutrition Professional
Registered Nurse
Nurse Practitioner
Chiropractor
Acupuncturist
NTP
Health Coach
Physical Therapist
Other
7
Do you hold a degree in nutrition or other health science? Have you done any nutrition education/trainings? Please list them all below, and provide your current credentials. *For credentials and certifications, please share in full and not just the acronym* (ie: Certified Nutrition Specialist instead of CNS)* This field is required.
8
Roughly how many hours of clinical experience do you have? (We are looking for how much time you’ve spent working 1:1 with clients. It's okay if your answer is zero.)* This field is required.
9
Now onto the fun stuff! More about you! :) Tell us a little bit about yourself and why you’re interested in the Funk’tional Nutrition Academy.* This field is required.
10
What do you see as the biggest issues, obstacles or sore spots in your career (or business/private practice, if applicable)? What specifically feels out of balance? What problems are you hoping to solve? On your current trajectory (ie if nothing changes), what would your career and/or business look like in one year from now?* This field is required.
11
What goals, results and changes do you desire to create over the next year? Do you have a specific desired monthly revenue? What kind of impact would you like to make with your work?* This field is required.
12
If all these goals came true, what would your life look like? How would you feel?* This field is required.
13
What's your primary business url and/or social handle? Drop them below, if applicable. We'd love to see what you're up to in the world! :)
14
Accessing the magic of FNA requires a significant financial & energetic investment. FNA has resulted in life-changing professional, personal & business growth for our graduates. Some students make their entire investment back by month 6! Knowing this, how ready are you to commit to your future success?* This field is required.Current tuition for the Spring 2024 cohort is $20,000 with payment plans & financing options available. FNA tuition covers 14 months of extremely in-depth education modules, live access to leaders in the industry, thought leadership & business trainings, access to our mastermind community, as well as clinical mentorship to accelerate your learning and clinical confidence.
I'm ready and excited! Send me the next steps for enrollment!
I’m ready to invest but I have questions for Team FN
I'm still deciding
15
What's the biggest thing(s) holding you back?
Huge
Large
Normal
Small
Ok
Ok
16
I would like to schedule a Advisory Call with FNA Lead Clinical Mentor Rachel Mistry, MS, RDN to ask questions and help determine if this program is the best fit for me.* This field is required.
YESNO
17
When would you like to get started?* This field is required.
I am interested in the Spring 2025 Cohort
I am interested in a future cohort
18
Erin offers a weekly editorial chock full of functional nutrition goodies, fresh podcast episodes, and announcements for new offerings such as standalone courses. Would you like to subscribe to The Funk'tional Nutritionist weekly editorial to be kept in the loop?* This field is required.
YESNO
19
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Accessing the magic of FNA requires a significant financial & energetic investment. FNA has resulted in life-changing professional, personal & business growth for our graduates. Some students make their entire investment back by month 6! Knowing this, how ready are you to commit to your future success?Current tuition for the Spring 2024 cohort is $20,000 with payment plans & financing options available. FNA tuition covers 14 months of extremely in-depth education modules, live access to leaders in the industry, thought leadership & business trainings, access to our mastermind community, as well as clinical mentorship to accelerate your learning and clinical confidence.
Heck yes!I am still deciding
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