Certified Intuitive Eating Counselor Application

Applicants to the Certified Intuitive Eating Counselor program must hold a minimum of a bachelor's degree in a health related field or have a coaching certification that is ACTP accredited by the International Federation of Coaches or ACSM certified.

*Applicants that do not meet these requirements have the option of becoming a Certified Intuitive Eating Lay Facilitator

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* 1. Contact Information

First and Last Name

Email Address

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* 2. What is your current occupation?

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* 3. What is the highest level of education you have completed?

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* 4. What was your Major/Focus of Study?

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* 5. Do you have a coaching certification that is ACTP accredited by the International Federation of Coaches or ACSM certified ?

Yes

No

Not Applicable

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* 6. Name of coaching program and Certification Achieved (if not applicable please write "None")

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* 7. How did you hear about the Certified Intuitive Eating Counselor program?

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* 8. Why do you want to become a Certified Intuitive Eating Counselor ?

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* 9. Please attach your current resume or curriculum vitae

PDF, DOC, DOCX file types only.

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* 10. I understand that Intuitive Eating is a weight-neutral approach aligned with Health at Every Size, and that the promotion of intentional weight loss, through Intuitive Eating is not ethical. There is no long-term study (longer than 5 years) showing that intentional weight loss is sustainable and effective. ( please type your name in the text box)

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* 11. By submitting this application, I affirm that the information provided is true and complete. I understand that any false statements or mis-representations made by me on this application may result in my dismissal from the program. ( please type your name in the text box)