ACBN Application for 300 Hour Program

Thank you for your interest in seeking approval from the American Clinical Board of Nutrition for your 300 Hour Nutrition Program.

300 Hour Program Review and Database Inclusion Application Fee, due with application: $5,000 (payable by check or credit card)
Name of School/Program *
Address of Organization *
Phone Number *
Is this program affiliated with the CE at your college/institution recognized by US Department of Education, or its foreign equivalent? *
Who is the main point of contact for the program?
Name: *
Phone*
Email Address
Does a conflict of interest exist between this program, the affiliated school/institution, the program directors or instructors and any third party (i.e. supplement companies, product distributors, laboratories, etc)? *
Who is in charge of the program (if different from main point of contact)?
Name: *
Phone*
Email*
Do they have a conflict of interest between this program, the affiliated school/institution, the program directors or instructors and any third party (i.e. supplement companies, product distributors, laboratories, etc)? *
All Nutritional instructors & CV *
Course Content per module in hour by hour or outline format. Please note that additional information my be requested. *
On average how long does it take to complete the program? *
What is the typical program enrollment size? *
What is the program completion rate? *
Where is this program offered? *
How many students from your programs have applied to become DACBNs? *
What is the breakdown by percentage of the various degrees your participants hold? (ie DC, MD, DO, D.Pharm, DDS, ND, PhD, etc) *
What are the prerequisites for enrollment into this program? (i.e. Is a doctoral level degree a requirement?) *
Submitted by *
Date *
Pay by clicking the below link before submitting *
Pay Here
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