training submission form

Training Submission

* Indicates required field

Name *

First

Last

Email *

Date *

Location *

Line 1

Line 2

City

State

Zip Code

Country

Course Schedule *

CVs or Resume of Speaker *

Max file size: 20MB

Instructors Advanced Training/Certification specific Course Content *

Max file size: 20MB

Copy of Certificate of Completion *

Max file size: 20MB

Program outline that must fully describe the time devoted to each topic area, including program objectives. *

Class Description *

A current reference list used for course in AMA or APA format *

It is the intent of the Continuing Education Department of the FPTA to ensure that material being submitted for course approval is current and evidence based to the extent that there is research to support the content. If research is not available, a written summary of why evidence based research is not available and a summary of relevance and theory with reference citations is required. *

Indicate course education level (Beginner/Intermediate/Advance) *

Indicate Target Audience on course material *

Hands-on labs must have detailed time outline indicating content being taught *

Expected number of CEUS *

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Training Submission

First Alternative Therapies

www.FirstAlterantiveTherapies.com

Info@firstalternativetherapies.com

Office: 954-789-2097

Fax: 772-872-6620

First Alternatives Representative Portal

www.fareps.com

Brendan@firstalternativecare.com

First Alternative Care

www.firstalterantivecare.com

info@firstalternativecare.com

FA Better Body Center

www.fabetterbody.com

Info@fabetterbody.com

Training Submission

First Alternative Therapieswww.FirstAlterantiveTherapies.comInfo@firstalternativetherapies.comOffice: 954-789-2097​Fax: 772-872-6620

First Alternatives Representative Portalwww.fareps.comBrendan@firstalternativecare.com

First Alternative Care​www.firstalterantivecare.cominfo@firstalternativecare.com

FA Better Body Centerwww.fabetterbody.comInfo@fabetterbody.com

First Alternative Therapies

www.FirstAlterantiveTherapies.com

Info@firstalternativetherapies.com

Office: 954-789-2097

Fax: 772-872-6620

First Alternatives Representative Portal

www.fareps.com

Brendan@firstalternativecare.com

First Alternative Care

www.firstalterantivecare.com

info@firstalternativecare.com

FA Better Body Center

www.fabetterbody.com

Info@fabetterbody.com