Get Lactation Consultant Pathway 1 Course Approval Checklist - Extension Ucsd

This guide provides comprehensive instructions on how to effectively complete the Lactation Consultant Pathway 1 Course Approval Checklist for Extension UC San Diego. By following these steps, you will ensure that all relevant information is accurately documented.

Follow the steps to successfully complete the checklist.

1. Click ‘Get Form’ button to access the Lactation Consultant Pathway 1 Course Approval Checklist. This will allow you to open the form in your preferred digital format.
2. Begin filling out the form by entering your full name in the 'Student Name' field. This identifies you as the applicant.
3. Specify the 'Quarter Applying For' by selecting from the options provided (FA, WI, SP, SU). It is important to indicate the correct term of enrollment.
4. Provide your complete address, including 'City,' 'State,' and 'Zip Code.' Ensure that the information is correct to avoid communication issues.
5. Enter your 'Email' and 'Phone Number' to facilitate contact during the application process.
6. Review the prerequisites section. Ensure that you have completed the required education and clinical experience before enrollment.
7. In the 'Your Health Profession' field, describe your current profession as defined by IBLCE requirements to confirm eligibility.
8. Document your clinical hours, ensuring you mention the total of at least 1000 hours of experience with breastfeeding dyads. Attach the Clinical Hours Calculation Form as required.
9. Read and understand the Memorandum of Understanding carefully, ensuring you are aware of all terms outlined.
10. Complete the signature section by entering your full legal name and the date, confirming your understanding and agreement to the terms.
11. Return the completed form via the specified method: email, fax, or mail, as detailed in the instructions.

Complete your Lactation Consultant Pathway 1 Course Approval Checklist online today!