Student Applicant Information

Mailing Address

Emergency Contact

Please provide an emergency contact in the event that we are unable to contact you during the program.

Admission Questions

How did you first learn about our program?

Can we send your referral a thank you note?

Please select the option below that best represents being a holistic nurse to you.

Option 1: Providing care that acknowledges and incorporates things such as the individual’s lifestyle, mindset, worldview and/or beliefs, religious and/or spiritual ideologies, and more.

Option 2: Both providing care that acknowledges and incorporates things such as the individual’s lifestyle, mindset, worldview and/or beliefs, religious and/or spiritual ideologies, etc., as well as living and embodying a holistic lifestyle and mindset as a nurse.

Please select the option below that best represents why you want to take the Comprehensive Holistic Nurse, Nurse Coach, & Consultant Certificate Program.

Choose the one self-care practice or approach that you most hope is discussed and/or practiced in the program:

Education & Experience

Nursing Practice

Eligibility

I have read and understood the Eligibility Requirements.

I have read and understood the Tuition Payment and Refund Policy.

I have read and understood the Course Agreements.

I have read and understood the Terms and Conditions.

I confirm that:

Course Start Dates

Permission Statement

We like to capture special moments! These may be in the form of photographs, testimonials or poignant statements or testimonials shared by students in writing or in open discussion. Having said this, we would not share something personal in nature or that would be considered confidential (e.g. a personal story or struggle shared by a student). An example of a statement we would share is "developing a deeper sense of self-awareness was the missing piece in truly caring for myself", or "I have seen the magic that can happen when nurses use a holistic approach in the palliative care setting". The intention is to celebrate and showcase the important work you are all doing and the importance of holistic nursing and nurse coaching for both the nurse and their clients. Places we post are on our social media platforms and in our newsletters, quarterly journals, website, etc. To give credit where credit it due, we like to add your name or initials.

Acknowledgement

By signing your name below, and choosing YES, you acknowledge that you have fully read this agreement and agree with the terms and conditions presented.