Online Foot Care Nurse Theory Course Application

Student Information

You are currently applying for the SPRING semester FCN Theory course - FCN Theory Dates: April 13 – June 29, 2021

Registration for the summer 2021 semester will open May 4, 2021.

Student Declaration:*

I confirm that I have read the Online FCN Theory Course Outline.

First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*

Email Address*

Phone*

Course Prerequisites

NURSING REGISTRATION

Nursing Title:*

If "Other", please specify

Nursing Registration Number:*

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 applicants meeting one or more of the criteria listed below. To be screened for this discount, please select the criteria applicable to you:

1. Graduate of Foot Canada Training (formerly Foot Care Kingston) FCN course (2007 or later)

2. Returning student to Foot Canada Training (formerly Foot Care Kingston) FCN course (2007 or later)

3. Graduate of previous Foot Care Kingston FCN Educator Course (2012-2019)

4. Experienced Foot Care Nurse - Required to have a valid CAFCN membership AND have 750 hours of nursing foot care practice in the past 5 years.

If you selected #1-3 of the above discount criteria, please provide the month and year when you previously registered with Foot Canada Training (formerly Foot Care Kingston).

If you selected discount criteria #4 (experienced Foot Care Nurse), please note that the following supporting documents are required.

Supporting Documents

Professional Reference - If wanting to be considered for this discount on the basis of being an experienced Foot Care Nurse, 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 the Professional Reference form to confirm that applicant has met this experience prerequisite.

The applicant may have more than one professional 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 must also 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 they submit their FCN Theory Course Application. The email subject line must contain the last and first name of the applicant and be formulated as follows: LAST, FIRST - CAFCN Membership.

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)

Textbook

Students are expected to purchase the following textbook: Lazenby, Cindy. LM. (2017) Art & Science of Foot Care: A Clinical Resource for Nurses in Canada. This textbook was written with the Foot Care Nurse course in mind and is a peer-reviewed, multi-authored textbook. With COVID-19 already putting additional strain on the mail system, we recommend ordering the textbook as soon as possible to ensure it arrives in time for the course start date. We have limited stock available to ship textbooks to students directly from our office. The cost is $135.00 + tax with FREE shipping within Canada. Would you like the cost of the textbook to be added to your tuition?*

Yes

No

If purchasing the textbook, please confirm your full mailing address:

Sponsoring Organization

If your employer or sponsoring organization is paying your tuition, please provide 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

Email

Phone

Company Name

Address

City

Province

Postal Code

Keep in Touch

How did you first hear about Foot Canada Training and our Foot Care Nurse Courses?*

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.*

Yes

No

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

1. The FCN Theory course uses a discussion board as well as group emails to communicate with the class. If accepted into the FCN Theory course I consent to my email address being visible to my classmates.

2. In submitting this application I am aware I am applying for the Online Foot Care Nurse Theory course (FCN Theory). FCN Theory offers a theoretical foundation for new foot care nurses, to be followed by a Foot Care Nurse Clinical course (in-person clinical skills development). Together, both types of training are required to prepare participants to function as a Foot Care Nurse within a health care team.

Registration in the Foot Canada Training FCN Theory course does not guarantee you a space in a clinical course for an upcoming session. We strongly encourage all students to contact a Clinical Education Provider of their choice and inquire about available courses and the registration process prior finalizing registration to FCN Theory. Check out the Clinical Training page for more information.