HCA Application for Educational Institution Program Approval

HCA Application for Educational Institution Program Approval
Program Information
Name of Institution *
Website Url *
Main Contact *

First Name Last Name
Phone Number *

Area Code Phone Number
E-mail *

Business Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Program Name *
Upload Program Outline
Average Hours of Study Per Module *
Total Program Hours *
Which designation are you requesting approval for? *

Registered Holistic Nutrition Practitioner Registered Health Coach Registered Health & Nutrition Coach All of the Above
How do you deliver your program to your students? (Check all that apply) *

Online On Campus
Testing
Method of Testing for Modules and Final Exam *

Multiple Choice True or False Long Answer Research Paper Case Studies Combination of all above methods
Are your students required to complete case or field studies? *

Yes No
If yes please describe:
How do you deliver your final exam to your students? *
What steps are taken to ensure your exams are not copied or shared to other students? *
Are your Exams open book? *

Yes No
Are Your Final Exams Proctored? *

Yes No
If no, please describe your method of testing:
What type of exams are required to complete your program? (Check all that apply) *

Final exam Mid-term exam Tests at the end of each module Oral Exam
How is your exam graded? *

Manually graded by instructor Online grading system
What is considered a passing grade on the final exam? *
What is the final grade required to pass the course? *
School & Faculty
About the Founders
Who is the founder(s) of this program? Please list all parties and attach additional file if needed. *

First Name Last Name
Founder 2

First Name Last Name
Founder 3

First Name Last Name
Please attach bios including relevant education and experience for each founding partner. *

Browse Files

Cancel of
About the Instructors

If the instructors are the founders, please leave this section blank.
Are the instructors the founder(s) of this program? *

The founders of this program are also the instructors. Instructors are listed below.
Please attach bios for the instructors (if different from founders) including all relevant education and experience.

Browse Files

Cancel of
Is your company a registered business? *

Yes No
How long has your program been in existence? *
Please indicate where your business is registered? (Province / State / Country) *
Is your program approved through any other organizations? *

Yes No
Please list other organizations you are approved by, if applicable.
How many students do you currently have? *
How many graduates have completed your course to date? *
Public Info

Upon Approval of your program, we will share your school information on our website. If different from above, please provide the details below. If this section is left blank, we will share use the information provided to us at the beginning of the application.

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number

Area Code Phone Number
Email
example@example.com
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.
*

Yes
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 sign on behalf of the company regarding all information above.

Clear
Should be Empty:

HCA Application for Educational Institution Program Approval

Program Information

Testing

School & Faculty

Public Info