Request Invoice or Quote for California State Mandated Courses

Order Form: Additional Learner Licenses
Use this form if you have have had access to courses and only need to add Learner Licenses.

If your organization needs access to courses for the first time or because you are adding courses, go to this page: https://www.humanitasinst.org/order-or-quote-california-courses-meeting-state-law-requirements.
Your Name*

First NameLast Name
Your email address*
example@example.com
Your Organization
Your job title / role at your organization*
Who Should Receive The Invoice?
Name

First NameLast Name
Email Address*

Confirmation Emailexample@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
City, State, and Zip Code*

Street Address

Street Address Line 2

CityState

Zip Code
Which describes your current needs? Check all that apply.*

I want to order additional Learner License LicensesI want to provide additional courses for my learnersI want to prepay for CE for some or all my learners
Choose your Learner License Pack. Our smallest pack covers 50 Learners and largest 50,000 Learners. If your needs are outside that range, contact us.*

50 Learner Licenses100 Learner Licenses200 Learner Licenses250 Learner Licenses500 Learner Licenses750 Learner Licenses1,000 Learner Licenses1,500 Learner Licenses2,000 Learner Licenses3,000 Learner Licenses4,000 Learner Licenses5,000 Learner Licenses7,500 Learner Licenses10,000 Learner Licenses25,000 Learner Licenses50,000 Learner LicensesOver 50,000 Learner Licenses
Number of Learner Licenses
Your Learner License Pack Fee
Read-only. Automatically populated.
Where are your learners currently accessing Humanitas Institute (formerly Diversity Science) courses?*

On my organization's learning management systemOn the Humanitas Institute learning management systemWe are not currently using any Humanitas Institute or Diversity Science coursed
Do you want to provide any additional courses to your learners (to meet additional state requirements)?
You indicated you want to provide additional courses to your learners. Check all courses that you want to provide your learners in ADDITION to the courses learners already access.

Intersectionality & Gender Inclusive Care (w/Foundational Dignity in Pregnancy & Childbirth, meets CA AB 2319)Foundational Dignity in Pregnancy & ChildbirthRefresher: Dignity in Pregnancy & ChildbirthTrangender Inclusive Care (meets the Requirements of CA SB 923, The Transgender Inclusive Care Act)Implicit Bias for New Nurses (Meets the Requirements of CA AB 1407, Implicit Bias Training for New Nurses)Other Humanitas Institute Courses
S&A Fee for Course Bundle Transfer
Read-only. Automatically populated.
Your Total Before Add-Ons
Learner License Pack + S & A Fees
Read-only. Automatically populated.
Optional: Pre-pay for CE exams (cover the cost of CE for your learners)

ANCC and ACCME accredited. Learners may also self-pay for CE exams on our website.
Would you like to pre-pay for CE exams for (all or some) of your learners?

YesNoUnsure
Please write in the number of CE exams that you wish to purchase (pre-pay for). Your fee will be $5.00 per exam.*
CE Exam purchased
Optional Fee for CE Exams
Read-only. Automatically populated.
Your Total Cost
Total Cost
Read Only. Automatically Populated.
Whats next?

We are not ready to move forward. Please send me a quoteWe are ready to move forward. Please send me an invoice.
Do you have any questions? Is there anything you would like us to know?
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Order Form: Additional Learner Licenses

Who Should Receive The Invoice?

Do you want to provide any additional courses to your learners (to meet additional state requirements)?

Your Total Before Add-Ons

Optional: Pre-pay for CE exams (cover the cost of CE for your learners)

Your Total Cost