Foot Care Course Application FormThe form is confidential and only shared within the operational team.Please enable JavaScript in your browser to complete this form.NameFirstLastEmailPhone NumberAddressDesignation RPN – proof of designation and CNO status to practice requiredRN – proof of designation and CNO status to practice requiredNP -proof of designation and CNO status to practice requiredPSW – proof of PSW course completion requiredPlease select your professional designation and require proof with your application.Registration Number *(If none, please enter 0)Course of Interest For RPNs / RNs / NPsBasic & Advanced Foot Care (1:1 Format) Online theory via live webinars + 1-day in-class session $2,000 + HSTBasic & Advanced Foot Care (1:1 Format – In Person) Four days in-class training $2,300 + HSTAdvanced Foot Care (1:1 Format) Self-directed online theory + 1-day in-class session $1,000 + HSTBasic & Advanced Foot Care (Self-Directed) Self-directed online theory + 1-day in-class session $1,500 + HSTAll in-class sessions are planned 1:1. More course details are available on the website.Course of Interest For PSW Basic Foot Care (1:1 Format) Online theory via live webinars + 1-day in-class session $1,000 + HSTBasic Foot Care (Self-Directed) Online theory + demonstration video & exam $500 + HSTAdditional ProgramsMentorship Program $400 + HSTEntrepreneur Webinar Currently under constructionOther training options are available upon request. Learning Needs Questionnaire – Technology *☐ I feel I am tech savvy (can navigate links and log in independently)I feel I am NOT tech savvy (need assistance with links/logins)These questions are to ensure the program of interest will meet your learning needs. Learning Needs Questionnaire – Self-Direction *I feel I can learn independently with written/verbal instructionsI feel I CANNOT learn independently and need 1:1 supportThese questions are to ensure the program of interest will meet your learning needs. Learning Needs Questionnaire – Time Management *I feel I am very good at setting my own schedule and completing tasksI feel I am NOT very good at scheduling my own timeThese questions are to ensure the program of interest will meet your learning needs. Policies & Procedures *I have read the Policies and Procedures page and fully understand the course requirementsI have NOT read the page and do NOT understand the requirementsI need further help and informationFrequently Asked Questions (FAQ) *I have read the FAQ page and fully understand the course requirementsI have NOT read the FAQ page and do NOT understand the requirementsI need further help and informationCourse Start DatesSelf-Directed Courses Start any time at your convenience. In-class sessions are scheduled starting September 1st.1:1 Format Courses Currently wait-listed. Dates will be scheduled upon receipt of your application. In-class sessions are scheduled starting September 1st.MessageSubmit
