Course Submission Request
This form should be used for people interested in submitting a course to be taught through the Naturopathic Medicine Institute.

There are three categories: Core Curriculum, Elective Category A (counts towards requirements for Fellow status) and Elective Category B (NMI approved but does not fulfill Fellow status requirements). Should your course be approved, the Curriculum Committee will work with you to determine in which category your course best fits.

Instructor(s) Name(s) *
Your answer
Phone *
Your answer
Email *
Your answer
Credentials *
Your answer
Training *
School attended and year of graduation
Your answer
Years in practice *
Your answer
Qualifications *
Besides your credentials, what experiences, training, or expertise do you have that makes you qualified to teach this course?
Your answer
Name of course *
Your answer
Cost of Course *
The cost of CE offered by NMI is $25 per credit hour. Instructors do have the option of providing their CE Course at no charge. Speaker compensation is 50% of net.
Course description *
Your answer
Course objectives/goals *
Your answer
Vitalism *
How is vitalistic naturopathic philosophy incorporated into this material?
Your answer
Audience *
Applicable/Target audience-who is best suited to learn from this material?
Your answer
Prerequisites *
Are there any prerequisites for attendees to take this course and if so what are they?
Your answer
Hours *
How many hours and sessions are in this course?
Your answer
CE *
Does this course qualify for continuing education through OBNM and AANP? If you are not sure, put not known as answer. If approved, please put date approved for OBNM and AANP.
Your answer
Format *
What is your first preference for class format?
Class size *
Is there a minimum or maximum number of students required for you to teach this course?
Your answer
Class materials *
Are students required to have any special equipment, books or supplies to be successful in this course?
Your answer
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