Re-submission RDC Application

Name*

First Last

Phone*

Email (all course-related correspondence will be sent to this address)*

Permission to share email address with other course participants*

I give permission for SDA to share my email address with other course participants so that we can communicate regarding course content

Yes

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Please note we will be sending samples to this address so please provide your current address. Also, ensure your address details are up-to-date in your Member Portal.

SDA Member?*

Yes

SDA Membership is a prerequisite for this course. If you have answered 'No' please ensure you sign up as Member when you submit your application. If you answered 'Yes' what membership category did you join?

Name of Dietetics Degree and university attended*

Have you successfully completed a sports nutrition course at university? Please list name and unit number*

Year & Month completed degree*

Have you completed the Sports Fundamentals Essentials Course?*

Yes

I am not sure what this course is

Do you have any Exercise Physiology experience (study or practical):*

Yes

If you answered yes to the above question, please indicate your level of Exercise Physiology knowledge by ticking all that apply:

Basic understanding through practical exposure

Undergraduate paper (ie single course)

Undergraduate Degree

Post Graduate

Masters

PhD

I have worked as an Exercise Physiologist

Are you eligible to be registered as an Accredited Dietitian?*

Yes

If you are Accredited, who are you registered with?

Registered since?

How were you referred to the course?*

Post graduate experience

Clinical experience*

Please briefly outline your clinical experience (bullet point format acceptable)

Sports Nutrition Experience*

Please briefly outline your sports nutrition experience (bullet point format acceptable)

Sports Experience

Your personal sporting experience

Please briefly outline your own personal sporting experience (this is not essential but provides SDA with a broader context of your exposure to sporting environments).

Please attach your letter(s) of support*

Drop files here or

Accepted file types: pdf, doc, docx, jpg, gif, png, Max. file size: 10 MB, Max. files: 5.

SDC Application

Post graduate experience

Sports Experience