CAIN Application for Program Review

1
BEFORE YOU BEGINPlease ensure you have the following documents available for upload.
2
Which designation are you requesting approval for?* This field is required.
CAIN Registered Holistic Nutrition Practitioner (2000+ Hour Programs)
CAIN Registered Health & Nutrition Counselor (1000+ Hours)
All of the above
3
Name of Institution* This field is required.
4
Website* This field is required.
5
Main Contact * This field is required.
First Name
Last Name
6
Phone Number* This field is required.
Area Code
Phone Number
7
E-mail* This field is required.
8
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
Curaçao
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
9
Name of Program to be Reviewed* This field is required.
10
Average Hours of Study Per Module* This field is required.
11
Total Program Hours* This field is required.
12
How do you deliver your program to your students?* This field is required.
Online
A mix of both
On Campus
Other
13
What type of tests / quizzes are required to complete your program?* This field is required.Check all that apply.
Tests at the end of each module
Mid-term exam
Oral Exam
Final Exam
14
Are your students required to complete case / field studies?* This field is required.
YESNO
15
If yes, please provide details:
Huge
Large
Normal
Small
Ok
Ok
16
Are your students required to complete a final exam?* This field is required.
YESNO
17
How do you deliver your final exam to your students?* This field is required.
Huge
Large
Normal
Small
Ok
Ok
18
Is your final exam open book?* This field is required.
YESNO
19
Is your final exam proctored (online studies) or monitored in a class setting?* This field is required.
YESNO
20
If your exams are not proctored or monitored, please describe your method of testing.* This field is required.
Huge
Large
Normal
Small
Ok
Ok
21
What steps are taken to ensure your exam is not copied or shared to other students?* This field is required.
Huge
Large
Normal
Small
Ok
Ok
22
What type of questions are on your final Exam* This field is required.Select all that apply.
Multiple Choice
True or False
Long Answer
Research Paper
Case Studies
23
How is your exam graded?* This field is required.
Manually graded by instructor
Online grading system
24
What is considered a passing grade on the final exam?* This field is required.
25
What is the final grade required to pass the course?* This field is required.
26
Is your company / school a registered business?* This field is required.
YESNO
27
If no, please explain:
Huge
Large
Normal
Small
Ok
Ok
28
Please indicate where your business is registered.Province / State / Country
29
How long has your program been in existence?* This field is required.
30
Who are the founders of this program?* This field is required.Please list all parties and attach bios and additional files when prompted to do so..
31
If the instructors are also the founders, you can leave this section blank.* This field is required.
The founders of this program are also the instructors.
The Instructors are listed below.
32
Please list instructors by name and what they are teaching in your program. A complete bio can be attached in the following section. This should include educational background and relevant experience.
Huge
Large
Normal
Small
Ok
Ok
33
How many Canadian students do you currently have?* This field is required.
34
How many Canadians have completed / graduated your course to date?* This field is required.
35
If your program is approved through any other organizations, please list them below:
Huge
Large
Normal
Small
Ok
Ok
36
Do you have other courses that you would like reviewed for continuing education?A discount will be applied if CE courses are submitted at the same time as the application for course review. If yes, somebody will be in touch to discuss.
YESNO
37
Would you like your program to be listed with our partner organization, the Health Coach Alliance should you be approved? Additional fees will apply.
YESNO
38
IT IS TIME TO UPLOAD YOUR DOCUMENTSPlease ensure you include all required materials.
39
Please attach all required documents now. If a username and password have not yet been generated, this may be sent to us at a later date.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
40
By clicking yes, I acknowledge and understand that should changes be made to our curriculum that it is our obligation and responsibility to advise CAIN 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
41
I understand that the fee is for the review of your program and does not guarantee that the program will be approved. I understand there will be no refund if the course does not meet the requirements. I will have one year from the date of application to submit the course one time should it not meet the requirements the first time, at no additional cost.
Yes
42
By signing my name in the box, I am confirming the accuracy of the information supplied in this application and that I have the authority to sign on behalf of the company regarding all of the information supplied herein.
Clear
Should be Empty: