The CIINDE

Comprehensive Holistic Nurse, Nurse Coach, & Consultant Certificate Application Form

Customize a payment plan to fit your budget!
All payment plans have a 5% admin fee.
You will be able to select “Pay with Payment Plan" as your payment method at the checkout.

    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?

    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 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

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

    Please attach a current copy of your CV/Resume (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.

    Nursing role:

    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).

    Payment Options

    Exclusive 40% off offer for new registration applicants:

    Are you are interested in:
    Starting an independent nursing practice following graduation?
    Enhancing your intuition and gaining a deeper understanding of spirituality?
    Taking your knowledge of Complementary & Integrative Health to the next level?

    Take advantage of the discounted supplemental courses below when you enroll in the Comprehensive Holistic Nurse, Nurse Coach, & Consultant Certificate Program.

    Core
    Supplemental Courses

    You can visit the education page of our website to learn more about these courses.

    Note: If you decide not to continue the comprehensive program and receive a refund, you will be responsible for the remaining 40% for the supplemental courses purchased in the bundle.

    Course Start Dates:

    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

    Canadian Institute of Integrative Nursing Development & Education

    Comprehensive Holistic Nurse & Nurse Coaching Certificate Program: An Integrative Approach to Holistic Care of Self & Others