ADMISSION INFORMATION

INFACT – INTERNATIONAL FOOD ABUSE COUNSELOR TRAINING FOR FAC – FOOD ABUSE COUNSELOR
Registration Form
To be received by February 4th. 2017. Please type, or write legibly
Name:
Address:
Telephone:
E-mail:
Place of Employment:
Documents to be sent with application: History of Education and Worktraining, Credentials, Specializations, Training. Two letters of Recommendation.
Please write about your interest in the program and what you hope to accomplish with it; __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Requirement for participation:
Recommendations that show education and work training that will complement Food Abuse Counseling.
An interview with Esther Helga Gudmundsdottir, director of INFACT.
For the online part of the training: computer with sound and web camera.
Knowledge of the English language.
Participation in onsite 5 day intensive training: (Travel and lodging is not included in training)

Price: $2,400.
Included in the 4 month training: 15 weekly, four hour online lecture and trainingsessions, online weekly support with assignments, Course materials, closed facebook, 5 day intensive at the end of training in Iceland.

Please circle your paymentchoice: I will pay in full / By Check / Money/Bank Transfer / Visa / Other ways of payment
Those that pay in full before February 4th. 2017 will receive 10% discount of the price of training.

INFACT, SidumulI 33, 108, Reykjavik, Iceland
You may also Email completed form to esther@mfm.is

Date:
Signature