Student Application and Intake Form

Student Application and Health Intake Form

Seed Cycle Practitioner Certification Program

Basic Information
Full Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Birth Date

MonthDayYear
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Emergency Contact*

First NameLast Name
Relationship*
ex. Father, Mother, etc.
Phone Number Of Person To Contact In Case Of Emergency*
Please enter a valid phone number.
Email Of Person To Contact In Case Of Emergency*
example@example.com

Educational & Professional Background
Current Profession*
Curriculum Vitae or List of Achievements*

File should be in pdf, doc/docx format.
Cancelof
Relevant Certifications or Training (if any):*

NaturopathHerbalistNutritionist/DietitianGeneral PractitionerDermal Clinician/Skin TherapistOther
Years of Experience in Women's Health/Welless*

Course Goals and Expectations
Why do you want to become a Certified Seed Cycle Practitioner?*
How do you plan to use this certification in your practice?*

Terms and Conditions
By enrolling in the Seed Cycle Practitioner Certification Program, you agree to the following terms:*

Course Access: Upon successful enrollment, students will receive access to all course materials. Access is intended for personal educational use only and must not be shared or redistributed.Completion Requirements: To earn certification, students must complete all coursework, pass required assessments, and adhere to the program's code of conduct and ethics.Code of Conduct & Ethics: Students are expected to maintain professionalism, honesty, and integrity. Any misconduct—including unethical behavior, false claims, or violation of program guidelines—may result in dismissal and revocation of certification without refund.No Medical Claims: This course does not qualify students to diagnose, treat, or prescribe for any medical or mental health conditions. It is an educational program only. Certified practitioners must clearly communicate that their services are complementary in nature and not a replacement for professional medical advice.Intellectual Property: All course content is copyrighted and owned by The Seed Cycle. It may not be copied, shared, or reproduced in any form without prior written permission.Certification Limitations: Certification as a Seed Cycle Practitioner does not grant a license to practice medicine, nutrition, or naturopathy. Practitioners must operate within the legal scope of their region and are responsible for securing appropriate insurance and/or professional association membership (e.g., IICT).Brand Usage: Graduates may use the title "Certified Seed Cycle Practitioner" while in good standing with the program. Misuse of the certification or brand name may result in legal action or revocation.LiabilityLiability Release: Students assume full responsibility for the application of course knowledge. The Seed Cycle and its representatives are not liable for any legal, ethical, or client-related outcomes resulting from a practitioner's services.

Refund Policy
We understand that circumstances may change. Our refund policy is as follows: Full Refund (within 7 days of enrollment): You may request a full refund if you have accessed no more than 10% of the course content. Partial Refund (within 14 days of enrollment): A 50% refund may be issued if less than 30% of the course content has been accessed. No Refund (after 14 days): No refunds will be granted once more than 30% of the course content has been accessed. Exceptional Circumstances: In the event of a medical emergency or significant personal hardship, a written request for a refund may be submitted for review. Supporting documentation may be required.*

I understand the refund policy

Complaint and Grievance Policy
We are committed to creating a respectful, supportive, and professional learning environment for all students. We value transparency and accountability, and we encourage open communication regarding any concerns or grievances.

Purpose: This policy outlines the procedure for raising and resolving complaints related to course content, administration, instructor conduct, certification, or any other aspect of the student experience.

Step 1: Informal Resolution

Students are encouraged to first address any concerns directly with the course administrator or instructor via email. Most issues can be resolved quickly through open and respectful dialogue.

Step 2: Formal Complaint Submission

If the issue is not resolved informally, students may submit a formal written complaint by email to hello@theseedcycle.com with the following details:

Full name and contact information
Description of the grievance
Date(s) of the incident(s)
Any supporting evidence (screenshots, emails, etc.)
Desired outcome or resolution
Formal complaints will be acknowledged within 5 business days and reviewed within 14 business days.

Step 3: Internal Review and Response

The program director or a designated representative at The Seed Cycle will investigate the matter and respond with a written resolution. This response will detail the findings and any actions taken or recommended.

Step 4: External Mediation (if required)

If the student is not satisfied with the outcome of the internal review, either party may request the engagement of an independent, external mediator. This mediator will be mutually agreed upon by both parties. Costs for mediation will be shared equally unless otherwise agreed. The decision of the mediator will be considered final and binding.

The Seed Cycle is committed to handling all complaints fairly, confidentially, and in a timely manner. Retaliation against any individual for raising a concern or participating in a grievance process is strictly prohibited.

Program Fee & Payment Notification
Program Fee: $997 AUD
Format: Self-Paced Online | 10-Week Training Modules | Accessment and Case Study | Certificate Issued on Completion

Please allow 2–4 weeks for your application to be assessed. Upon acceptance into the Seed Cycling Practitioner Education Certification Program, you will be notified via email or phone. Full payment is required within 12 days of acceptance in order to secure your place and gain access to the course content.

Payment must be made upfront and in full prior to course access. If you require a different start date, this can be discussed during your acceptance correspondence.

Payment plans are available upon request. Please indicate your interest in a payment plan during the acceptance process.

Acknowledgements and Agreements
I confirm that the information provided is accurate.I understand that completion of this course does not constitute a license to practice nutrition or naturopathy but is a professional development certification.I agree to abide by the course code of conduct and ethics.
Signature*

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Student Application and Health Intake Form