HCA Application for Educational Institution Program Approval

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BEFORE YOU BEGIN:Please ensure you have the following documents available for upload.
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I am applying for:* This field is required.
New Program Review
Renewal Application / Review
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Renewing Schools only (move to the next question if you are applying for approval for the first time): Since the time of your last application submission, has the course changed?
Yes
No
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Renewing Schools only (move to the next question if you are applying for approval for the first time): Please describe the changes to your curriculum since your last application for approval.
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Ok
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Which designation are you requesting approval for?* This field is required.
Registered Health & Nutrition Counselor
Registered Health Coach
Both
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Name of Institution* This field is required.
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Website Url* This field is required.
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Main Contact* This field is required.
First Name
Last Name
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Main Contact Phone Number* This field is required.
Area Code
Phone Number
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Main Contact E-mail* This field is required.
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Business Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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Program Name(s)* This field is required.
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Average Hours of Study Per Module* This field is required.
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Total Program Hours* This field is required.
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How do you deliver your program to your students? (Check all that apply)* This field is required.
Online
On Campus
A Mix of Online and On Campus
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If you answered "other" in the previous question, please describe how you deliver your program to your students.
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Ok
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Are you submitting a combination of courses / programs in order to qualify for the HCA designation of choice?* This field is required.
Yes
No
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Please describe how this combination of courses will qualify for your chosen designation. Write N/A in this field if it does not apply to you.* This field is required.(Name of each program, total hours of each program, topics covered in each program)
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Ok
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In order for us to complete our review, we require full access to your program, including your quizzes and exams.* This field is required.You can select more than one option if applicable.
I have submitted the username and password with this application.
My program is not online. I will mail copies of the full program to you.
I will submit online access at a later date.
I will submit online access and mail the campus (hard copy) portion of the program to you.
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If your username and password for program access are ready, please provide them now.You may send this at a later date if you are not ready to provide this now.
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Method of Testing for Modules and Final Exam* This field is required.
Multiple Choice
True or False
Long Answer
Research Paper
Case Studies
Combination of all above methods
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Are your students required to complete case or field studies?* This field is required.
Yes
No
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If yes please describe:
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How do you deliver your final exam to your students?* This field is required.
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What steps are taken to ensure your exams are not copied or shared to other students?* This field is required.
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Are your Exams open book?* This field is required.
Yes
No
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Are Your Final Exams Proctored?* This field is required.
Yes
No
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If no, please describe your method of testing:
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What type of exams are required to complete your program? (Check all that apply)* This field is required.
Final exam
Mid-term exam
Tests at the end of each module
Oral Exam
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How is your exam graded?* This field is required.
Manually graded by instructor
Online grading system
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What is considered a passing grade on the final exam?* This field is required.
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What is the final grade required to pass the course?* This field is required.
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Please upload a copy of relevant certificates / diplomas or other proof of course completion. If you are submitting more than one course, please ensure you include all of the documents. * This field is required.
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Select files to upload
Max. file size: 10.6MB
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About the Founders
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Who is the founder(s) of this program? * This field is required.You will be prompted to upload a bio of each founder at the end of this application.
First Name
Last Name
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Founder 2
First Name
Last Name
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Founder 3
First Name
Last Name
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About the Instructors

If the instructors are the founders, please leave this section blank.
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Are the instructors the founder(s) of this program?* This field is required.If the instructors of this program as also the founders, you do not need to fill out the next section.
The founders of this program are also the instructors.
Instructors are listed below.
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Please list the instructors of your course(s) and what they teach.You will be prompted to upload their bios at the end of this application.
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Is your company a registered business?* This field is required.
Yes
No
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Please indicate where your business is registered? (Province / State / Country)* This field is required.
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How long has your program been in existence?* This field is required.
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Is your program approved through any other organizations?* This field is required.
Yes
No
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Please list other organizations you are approved by, if applicable.
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How many students do you currently have?* This field is required.
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How many graduates have completed your course to date?* This field is required.
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Please upload your company / course logo or relevant image here. * This field is required.
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Select files to upload
Max. file size: 10.6MB
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Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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Should you be approved, you be added to our approved schools list. Please provide a link to the page you want the public to be directed to.* This field is required.
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Phone Number
Area Code
Phone Number
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Email
example@example.com
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IT IS TIME TO UPLOAD THE REMAINDER OF YOUR DOCUMENTS:To avoid delays or denial of your application for review, please include all required documentation listed below.
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Please attach and upload all other required documentation.* This field is required.
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Select files to upload
Max. file size: 10.6MB
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By clicking yes, I acknowledge and understand that should changes be made to our curriculum that it is our obligation and responsibility to advise HCA of such changes and a review may be required. Fees may be applicable and will be determined at such a time.* This field is required.
Yes
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I understand that the application fee is for a review of the program being submitted. It does not guarantee approval of my course. Should I be denied, there is no refund offered but I have 12 months from the time of application to resubmit my program for approval once more.* This field is required.
Yes
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By signing my name in the box, I am confirming the accuracy of the information supplied in this application and that I have authority to pay and sign on behalf of the company regarding all information above.* This field is required.
Clear
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