Question Title

* 1. Hello and welcome to the LiquidGoldConcept Pathway 3 Accelerator Program Application.

Before proceeding with this application, we strongly recommend reviewing the LiquidGoldConcept Pathway 3 Accelerator Program Frequently Asked Questions Document. This will provide a comprehensive overview of what to expect and how our program works.

Question Title

* 2. Contact Information

Question Title

* 3. Have you ever been convicted of a felony?

Question Title

* 4. Which degrees have you obtained? What years were these degrees obtained?

Question Title

* 5. Please upload a copy of your transcript from a college, university, or accredited other program of higher education.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
Choose File

Question Title

* 6. Are you a healthcare professional (physician, nurse, or allied health professional)?

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
Choose File

Question Title

* 7. Are you currently enrolled in a program that will grant you a degree as a healthcare professional? 

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
Choose File

Question Title

* 8. Which of the IBLCE Required 14 Health Sciences Courses have you completed with a passing grade?

Question Title

* 9. Do you have any lactation certificates or additional training in lactation?

Question Title

* 10. Do you currently have access to pregnant or lactating patients/clients?

Question Title

* 11. Please describe the clinical setting(s) where you plan to accumulate clinical hours outside of LiquidGoldConcept. 

Question Title

* 12. Have you already secured your placement at the setting(s) you listed above?

Question Title

* 13. Have you already completed 90 hours of lactation-specific education?

Question Title

* 14. Describe why you have chosen to become an IBCLC.

Question Title

* 15. Anything else you would like to share? Questions?

T