Wellness Coach Certification Renewal

Name: Wellness Coach Certification Renewal
SKU: 5591
Availability: InStock

Wellness Coach Certification Renewal Application

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Today's Date

Name*

First Last

Customer #*

Certification Expiration Date*

Address*

Street Address Address Line 2 City State ZIP Code

Email*

Phone*

CECs Completed*

Course #

Completion Date

# of CECs Awarded

Provider (NETA, ACE, NASM, or AFAA)

You must include the relevant info in the boxes above for EACH course you are submitting with the application. List the specific Course Number assigned by NETA or ACE (e.g., CEP123456), or the Provider Number assigned by AFAA or NASM for each course. Click on the plus symbol to add additional lines as needed. You must attach an appropriate Certificate of Completion for each course specifically indicating the CECs (NETA, ACE, AFAA, or NASM) awarded.

Continuing Education Credits (CECs)*

Drop files here or

Accepted file types: jpg, gif, png, pdf, Max. file size: 50 MB.

You can click on the trash can to delete a successfully uploaded file. Include CECs totaling a minimum of twenty (20) CECs. (*6 CEC's must be from NETA workshops or home study courses)

Affirmation*

I affirm the information provided in conjunction with this application is accurate. Documentation of the continuing education activities listed above is enclosed with this renewal application. I understand that my certification may be revoked if any information is found to be false and no refund will be issued. By checking the box below, I acknowledge understanding of this affirmation statement.

I have read and understand the affirmation statement.

Renewal Date Range*

Prior to Expiration

1-90 Days Past Expiration

91-180 Days Past Expiration

If your 180-day reinstatement grace period lapses then you must retake and pass the certification test to once again earn NETA's Wellness Coach Specialty Certification.

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Renewal Total

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Category: Renewals

Wellness Coach Certification Renewal

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