FCN Educator Course Application

Registration for the FCN Educator (FCNEd) Course is ongoing throughout the year.

Prior to completing this application, please carefully read all information available on the FCNEd course page of the Foot Canada Training website, including the FCNEd Course Outline. By submitting this application you are confirming that you have read this information.

Please contact us should you have any questions. We endeavour to respond to all inquiries within 1-3 business days.

You are currently applying for the FCNEd WINTER semester course - FCNEd course dates: February 2, 2021 - April 13, 2021.

Registration for the spring semester FCNED course will open February 16, 2021.

Student Information

Student Declaration:*

I confirm that I have read the Online Foot Care Nurse Educator Course Outline.

First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*

Email Address*

Phone*

Course Prerequisites

Nursing Title:*

If "Other", please specify

Nursing Registration Number:*

Supporting documents

Professional Reference - Applicants are required to have 750 hours of nursing foot care practice in the past 5 years. Applicants must have an employer or foot care health professional complete and submit the Professional Reference form to validate that the applicant has met this prerequisite.

Applicants may have more than one reference complete this form if each reference can only validate a portion of the total years of nursing experience or total hours of nursing foot care required. For example, if 300 hours are completed with one employer and 450 hours are completed with another, both employers will need to complete this form for the hours they are able to confirm. The total hours of both references would then be used to validate the applicant has met the prerequisite.
CAFCN Membership - Applicants are required to be a current member of the Canadian Association of Foot Care Nurses (CAFCN) and must email an electronic copy of their valid CAFCN membership card and/or membership purchase receipt showing current registration to footcarenurseprogram@gmail.com on the same day the FCNEd Course Application is submitted. The email subject line must contain the last and first name of the applicant and be formulated as follows: LAST, FIRST - CAFCN Membership.

Both CAFCN membership card/receipt and the Applicant Reference form must be submitted for your FCNEd Course Application to be processed.

Payment Options

Please select the tuition rate based on the province/territory where you reside.*

DISCOUNT - The discounted tuition rate of $250 + tax is available to students meeting one or more of the criteria listed below. To be screened for this discount, please select the criteria applicable to you:

1. Returning student to Foot Canada Training's FCN Educator course (2019 or later)

2. Graduate of Foot Canada Training's FCN Educator course (2012 or later)

If you selected one of the discount criteria above, please provide the month and year when you previously registered with Foot Canada Training (formerly Foot Care Kingston).

Please select your prefered method of payment. *

Interac E-Transfer

Credit Card

Money Order (an additional adminitrative fee of $50 + tax will be applied if requesting this option)

Sponsoring Organization

If your employer or sponsoring organization is paying your tuition, please send us the name, email and number of the person responsible for making the payment, as well as the company name and address. We will send them an electronic invoice, which gives them the option to pay by credit card.

Name

Title

Phone

Company Name

Address

City

Province

Postal Code

Keep in Touch

How did you first hear about Foot Canada Training's Foot Care Nurse Educator course?*

If "Other", please specify

Our quarterly e-newsletter is the best way to stay up to date on our available courses, curriculum and textbook, as well as receive information of interest to the foot care nursing community. Would you like your email address to be added to our mailing list? You can unsubscribe at any time.*

PLEASE REVIEW YOUR APPLICATION PRIOR TO SUBMITTING TO ENSURE ALL INFORMATION INCLUDED IS COMPLETE AND ACCURATE.

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