RHFAC Professional Designation Application

First Name

Last Name

Email

Phone Number

Organization

Location (City/Town)

Location (State/Province)

Job Title

Language

At which academic institution did you complete the RHFAC Training course?

Provide proof of course completion

i.e., certificate of completion, official transcript, letter from instructor

Provide proof of exam completion

i.e., PDF letter from CSA Group

Once you receive your designation, can we celebrate your achievement on the Rick Hansen Foundation social media accounts?

YesNo

Why did you pursue an RHFAC Professional designation and why is it important to you? What has been the most valuable part of your experience earning your designation?

Headshots/Photo

Twitter Handle

Instagram Handle

LinkedIn Page

I understand having a valid APN membership is a mandatory requirement for maintaining my RHFAC Professional designation

Yes

I consent to receiving email updates from the Rick Hansen Foundation. I understand I can unsubscribe at any time.

Yes