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 RPNRNNPPSWThe applicant must provide proof of designation. RN/RPN/NP your proof of designation and status to practice CNO. PSW must provide proof of PSW course completion. Registration Number *If you do not have one please put 0Course of InterestBasic Foot Care PSW 1:1 Format (Online Theory via live webinars – 1 day in class)- $1000.00 plus HST*Basic Foot Care PSW Self Directed Learning Format (Online Theory- demo video exam (full distance education) $500.00 plus HST*RPN/RN/NP Basic & Advanced Foot Care Course 1:1 Format (Online Theory via live webinars – 1 day in class $2000 plus HST*RPN/RN/NP Basic & Advanced Foot Care Course 1:1 Format (4 days in class in person) – $2300 plus HST*RPN/RN/NP Advanced Foot Care Course 1:1 Format (Self Directed Online Theory – 1 day in class – $ 1000 plus HST*RPN/RN/NP Basic & Advanced Foot Care Course Self Directed Learning Format (Self Directed Online Theory- 1 day in class- $1500 plus HST*Mentorship -$400 plus HST*Entrepreneur Webinar - under constructionOther*All further information and course details can be found on the website Learning needs questionnaire - Technology *I feel I am tech savvy (I can click links and can log into to programs if needed)I feel I am NOT tech savvy (I have difficultly navigating links and 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 on my own, as long as I have good written/verbal instructions.I feel I CANNOT learn on my own, as I need more 1:1 support to ensure I have good verbal instructions.These questions are to ensure the program of interest will meet your learning needs. Learning needs questionnaire- Time Maintenance *I feel I am very good at setting my own schedules and can set time aside to complete a task.I feel I am NOT very good at setting my own schedules.These questions are to ensure the program of interest will meet your learning needs. Foot Care Course Start DateSelf Directed- start any time (In class dates dates starting in Jan 2025)1:1 format courses- Wait listed (In class dates dates starting in Jan 2025)PhoneSubmit
