Continuing Education

Online Application

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

  • Non-refundable $50.00 registration fee (not required for CHCP*, IMTI*, HPTK* or LCM*)
  • A headshot photo of yourself (can be cropped if needed)
  • Indicate which nutrition school or health program you graduated from
  • Shipping and applicable taxes are based on student’s location and will be provided once initial application is submitted
  • Please call us with payment information, if you need help or have questions
  • 1 -800-456-9313

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)

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