* First Name
Middle Name
* Last Name
* Email
* Address
Address2
* City
* State
-Please Select-
Alaska
Alabama
Arkansas
Arizona
California
Colorado
Connecticut
District Of Columbia
Delaware
Florida
Georgia
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Massachusetts
Maryland
Maine
Michigan
Minnesota
Missouri
Mississippi
Montana
North Carolina
North Dakota
Nebraska
New Hampshire
New Jersey
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Nevada
New York
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Virginia
Vermont
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Wisconsin
West Virginia
Wyoming
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland
Nova Scotia
N.W. Territories
Nunavut
Ontario
Prince Edward Is
Quebec
Saskatchewan
Yukon Terr.
* Postal Code
* Country
-Please Select-
Canada
United States
Home
Phone
* Work
Phone
* Education Level
--Select
One--
Some High School
High School Diploma or Equivalent
Some College
Associate Degree
Bachelor's Degree
Master's Degree or Higher
* Are you at least 23 years of age?
Yes
No
* When do you expect to start
the program?
-select program--
Less than 2 months
2-4 months
4-6 months
More than 6 months
* Best number to call between
9am-7pm EST
Home
Work
* Program of Interest
-select program--
Bachelor of Science in Holistic Nutrition
Bachelor of Science in Natural Health
Certificate of Holistic Companion Animal Care Studies
Consulting Herbalist Certificate - Level 2
Doctor of Natural Health
Doctor of Naturopathic Medicine (for medical doctors only)
Doctor of Naturopathy
Doctor of Naturopathy for Healthcare Professionals
Doctor of Philosophy in Holistic Nutrition
Doctor of Philosophy in Natural Health
Doctor of Philosophy in Traditional Naturopathy
Family Herbalist Certificate - Level 1
Healthcare Professional Studies
Iridology Studies
Master Herbalist Certificate - Level 3
Master of Arts in Holistic Wellness
Master of Science in Holistic Nutrition
Master of Science in Natural Health
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* Do you possess a
bachelor's degree from a regionally accredited institution or an
institution accredited by an agency recognized by the Department of
Education?
Yes No
* Do you possess a cumulative undergraduate grade point
average (GPA) of 2.50 (out of 4.0)? Yes No
* Did you graduate with a
cumulative grade point average (GPA) of 2.75 or higher? Yes No
* Are you an experienced
educator in one of the following: K-12 public or private education,
Higher Education, or Trade/Vocational school? Yes No
* Are you a currently
practicing K-12 Teacher? Yes No
* Do you possess or have you
ever possessed a teaching license? Yes No
* Do you teach to a
classroom/group of students? Yes No
* Are you a currently
practicing secondary (7-12) Teacher? Yes No
* Do you plan on doing your
field work in a school district in Iowa, Washington, DC or
Florida?
Yes No
* Do you possess a
cumulative undergraduate grade point average (GPA) of 2.50 (out of
4.0)? Yes
No
* Did you graduate with a
cumulative grade point average (GPA) of 2.5 or higher? Yes No
* Did you graduate with a cumulative GPA of 2.75 or
higher?
Yes No
* Do you possess a
cumulative undergraduate grade point average (GPA) of 3.0 (out of
4.0)? Yes
No
* Do you posses a cumulative
grade point average (GPA) of 3.0 or higher (out of 4.0) for the
second half of your undergraduate program (upper division nursing
program)?
Yes No
* Do you possess a
cumulative undergraduate grade point average (GPA) of 3.0 (out of
4.0) for the second part of your program or 2.5 (out of 4.0) for the
entire program? Yes No
* Do you posses a current,
unencumbered license to practice as a registered nurse in at least
one U.S. state, including the state in which a clinical will be
completed? Yes
No
* Do you have at least a
Bachelor's degree? Yes No
* When is the best time to
contact you? -select one- Morning Noon Mid-Afternoon Evening
* What is your
occupation? -select occupation- Registered Nurse Social Worker Rehabilitation Counselor Physical Therapist Occupational Therapist Psychologist Medical Doctor Other
* What is your
occupation?
* Are you currently enrolled
in another educational program? Yes No
* Have you ever enrolled in
an online education program? Yes No
* Do you possess a minimum
of an associate's degree from a regionally accredited institution or
an instition accredited by an agency recognized by the Department of
Education? Yes No
* Are you currently or were
you recently employed in the law enforcement field? Yes No
* Are you willing to
relocate to South Florida for up to 2 years to complete the clinical
portion of this program? Yes No
* Do you posses a bachelor's
degree, with an upper-division major in nursing, from a regionally
or nationally accredited institution by an agency recognized by the
Department of Education? Yes No
* Do you posses a current
license as a registered nurse, without restrictions,in the state in
which you reside? Yes No
* Do you plan on doing your
field work in a school district in Iowa, Washington, DC or Broward
County in Florida? Yes No