Course Accreditation/Review Form

Acupuncture Society Course Accreditation Form

Please fill in all form fields below and attach the required stated course documents and you will be asked to set up an annual auto-renew subscription of £100 per course on PayPal (this is your course accreditation fee, all teachers must become members are charged at £100 each for thier Society membership and should apply individually on our website, your Graduates can also join as members in the same way). You will need a PayPal account to be able to set this up.
First we ask you for the details of your primary (main course), and then there is a input box for any supplimentary (additional) courses you wish to be included in the accreditation, all the course manuals and other documents for each course can be uploaded in the uploader with suitable titles to enable us to deferentiate them
Full Name*

First NameLast Name
Applicants Role in Course*
Phone Number*

Area CodePhone Number
E-mail*
Course, College or School Email Address*
Home Address*

Street Address

Street Address Line 2

CityCounty / Province

Postal / Zip CodeCountry
Course Location*

Street Address

Street Address Line 2

CityCounty/Province

Postal/ Zip CodeCountry
Course Facilities*
Number of Teachers*

1 teacher2 teachers3 teachers4 Teachers5 Teachers6 Teachers
Enter each teachers name and email address*
Please upload copies of your course material and handbooks including course content, objectives and examination criterior/methods in word, xls, odf, jpeg, png, gif or pdf format.*

Upload a File

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How long have you been running this primary course?*
Primary Course name*
Duration of this course*
Number of contact hours*
Number of home study hours*
Is this course CPD, Certificate or Diploma?*

If you are applying for more that one course please Enter Details of Additional Courses:

	Course Name	CPD/Certificate/Diploma	Contact Hours	Home Study Hours
Course 1
Course 2
Course 3
Course 4
Course 5
Course 6

What are your qualifications in this therapy or any related therapy?*
State the scope of practice of your primary course*
State the admissions criteria for course applicants*
State admission requirements for you additional courses if different to the Primary course
State brief outline of the content of the syllabus of each course*
Please State your Methods of Examination and Assessment Procedures*
Anticipated number of students per primary course intake*
I confirm that, in completing this application, I have read and understood the Acupuncture Society's Accreditation Criteria, Code of Ethics, Rules & Safe practice.I also confirm that I agree (or on behalf of the named institution) to follow the Acupuncture Society's processes & accreditation criteria, including the annual minimum payment of £100 subscription fee to the Society*

I confirm
Enter the message as it's shown*
My Products*
prevnext( X )
1 Course£100.00
1 Course Accreditation Fee

2 Courses£150.00
2 Courses Accreditation Fee

3 Courses£200.00
3 Courses Accreditation Fee

4 Courses£250.00
4 Courses Accreditation Fee

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

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Acupuncture Society Course Accreditation Form