Please review the below application before starting, making sure you have all of the information needed at hand. A $50.00 fee applies to each application and payment will be processed during the submission process.

  • Once submitted a copy of your application will be sent to the email provided – please check your spam or junk mail folder!
  • Please allow 3-7 business days for a response to your application for processing.
  • If accepted you will receive detailed instructions on how to make your tuition payment and the next steps.
  • If you are accepted but choose to defer to a future program, a new application will need to be submitted at that time and any new fees related to the application and/or tuition will apply.

    PLA 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.

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

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

    Education & Experience (Optional for CIINDE Graduates)

    Please attach a current copy of your CV/Resume (2MB max file size)

    Nursing Registration Information

    Please upload a copy of your current registration (2MB max file size)

    Note: If you are unable to upload documents, please forward via email attachment to info@theciinde.com. Your application will be processed when received.

    Eligibility

    I have read and understand the Eligibility Requirements (link opens in a new window).

    I have read and understand the Tuition Payment & Refund Policy (link opens in a new window).

    I have read and understand the Course Agreements (link opens in a new window).

    Prior Learning Assessment Details

    Please upload a copy of your certificate from the nurse coaching program attended (2MB max file size)

    Please upload an official letter of graduation and confirmation of supervised coaching hours (2MB max file size)

    Note: If you are unable to upload documents, please forward via email attachment to info@theciinde.com. Your application will be processed when received.

    For non CIINDE alumni, please provide a brief description of the applicable course.

    Website link.

    Coming Soon!

    TheCIINDE has been working diligently to provide additional content and educational opportunities. We are excited to share what is coming up and the potential streams that will be offered in the near future. Please check off any that you are interested in exploring and we will share details in the upcoming months.

    Select all that apply.

    Additional Offerings of Interest

    Please share what would peak your interest in the future in terms of courses or other offerings.
    (i.e. a membership that offered live self-care classes; a course in essential oils; a conference and retreat, etc.)

    Course Start Date

    I have read and understand the Terms & Conditions (link opens in a new window).

    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 mediaplatforms 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 clicking YES, you acknowledge that you have fully read this agreement and agree with the terms and conditions presented.

    Payment for registation fee ($50 CAD)

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