Continuing Education

Online Application

Please complete the following application form and submit with the items listed below:

  • Select the program you are registering for. 
  • Indicate which nutrition school or health related program you have graduated from.
  • Non-refundable $50.00 registration fee (not required for CHCP*, IMTI*, HPTK* or LCM*).
  • Please call us with your payment information at 1-800-456-9313
  • Shipping and applicable taxes are based on student’s location and will be provided once initial application is submitted.

    Step 1: Tell Us About Yourself

    Name of Applicant*
    Main Phone Number*
    Email*

    I would like to receive the Edison Institute monthly newsletter. Newsletters include the latest nutrition Information, protocols, products, webinar group discussion and employment opportunities.

    Step 2: Complete The Application Form

    • Download the application from the link below and save it to your desk top
    • Complete desktop copy of interactive PDF (requires Adobe Reader or Acrobat)
    • Once the application is completed, save it again
    • Open the saved application form, apply a digital signature, then save again
    • Alternatively, you can print the application, complete by hand, attach to email
    • Please proceed to Step 3

    Step 3: Email the Application

    • Your completed application form
    • A headshot photo of yourself (can be cropped if needed)

    cta
    Contact Edison Institute of Nutrition Today Call 1-800-456-9313 or CONTACT US