Student Application

Apply for the Academy of Sleep

Pediatric Sleep Consultant Certification
Course Requirements:
- Essay Writing Skills
- Internet Connection
Full Name*

First NameLast Name
E-mail*
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Do you have childcare experience or are you a parent yourself?*
Why do you want to become a sleep consultant?*
Highest level of education you've completed?*
How did you hear about the Academy of Sleep?
Facebook, Google, Friend Refferal?
Submitting this application does not guarantee entry. If accepted you will receive an acceptance letter through email (please check your spam and junk folders as well.)

Thank you!
Terms and Conditions*
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Apply for the Academy of Sleep