CAB Category A & B Course Accreditation Form

CAB Course Application Form (A & B)

Course Basic Information
Name of Course*
Name of Course Author*
Contact Email*
Contact Phone*
Name of AKA member lodging submission*
AKA Membership Level*
Category*
Course Nomenclature
The AKA Inc. approves the use of Diploma, Advanced Diploma, Degree, and/or Bachelor terminology in marketing materials and course promotion, indicating an academic level. However, these terms are only permitted if the qualification is delivered by an Australian Registered Training Organisation (RTO) or Australian University. Courses not offered by an Australian RTO or University must be accredited under the AKA Inc. Workshop Model. When advertising and or marketing such courses in association with the AKA, directly or indirectly, they must be referred to as workshops, courses, or levels.”
Notes about submission or recategorisation.
Hours of Course (Total)
Enter total hours*
Face to Face Online Assessments
Course Manual
Full title of the manual*
Workbook Manual (if applicable)
Full title of the Workbook Manual
Hours of Workbook (Total)
Enter total hours
Face to Face Online Assessments
Attach course manual / workbook file/s*
PDF format only. Maximum 10mb per file.
Drop files here or

Accepted file types: pdf, Max. file size: 12 MB.
Attach additional course materials
PDF, JPG, GIF or PNG format only. Maximum 10mb per file.
Drop files here or

Accepted file types: pdf, jpg, gif, png, Max. file size: 12 MB.
The course manual includes accurate page numbers*
- Yes
- No
Location of Course Elements
Page number of Table of Contents*
Page number of index (optional)
Page number of disclaimer*
Page number of acknowledgement (optional)
Page number of copyright statement*
Page number(s) acknowledging original sources of images and material*
Page number(s) of references to sources used*
Must include: title, author, date of publication, edition number and page references
Page number of bibliography*
Must include: title, author, date of publication, edition number
Page number(s) of any theory other than kinesiology theory
Kinesiology Elements
Document(s) and page number(s) describing muscle monitoring used*
Click here for helpful information.
Document(s) and page number(s) describing challenges used*
Document(s) and page number(s) describing muscle monitoring evaluations*
List additional material / resources / handouts used in class
Note: As the course you are submitting is Category B, you will skip page 3 of 5.
Category A – Additional Requirements
Minimum requirements for accreditation of Category A Beginner Courses: 6 of the 9 criteria need to be met.
1. Document(s) and page number(s) of the nature of muscle function and structure
Attach file (if not already included)
Accepted file types: pdf, Max. file size: 5 MB.
2. Document(s) and page number(s) of a definition and explanation of meridian-organ / gland-muscle relationships including a brief history of its development
Attach file (if not already included)
Accepted file types: pdf, Max. file size: 5 MB.
3. Document(s) and page number(s) of a definition of meridians and a description of acupoints
Attach file (if not already included)
Accepted file types: pdf, Max. file size: 5 MB.
4. Document(s) and page number(s) of an introduction and explanation of Neurolymphatic and Neurovascular reflexes including a history of their development
Attach file (if not already included)
Accepted file types: pdf, Max. file size: 5 MB.
5. Document(s) and page number(s) of a description of the mechanism and application of Pauselock (also known as Circuit Retaining Mode or Putting it in Circuit)
Click here for helpful information.
Attach file (if not already included)
Accepted file types: pdf, Max. file size: 5 MB.
6. Document(s) and page number(s) of a description of Finger Modes (Digital Determinators) their practice and application
Attach file (if not already included)
Accepted file types: pdf, Max. file size: 5 MB.
7. Document(s) and page number(s) of a clear outline of balancing procedures and processes used including identification, correction and challenge procedures
Attach file (if not already included)
Accepted file types: pdf, Max. file size: 5 MB.
8. Document(s) and page number(s) of a basic philosophy and theme of the “Triad of Health” (Physical, Emotional, Nutritional OR Mental, Emotional, Physical) and an explanation of the importance of having this in balance
Attach file (if not already included)
Accepted file types: pdf, Max. file size: 5 MB.
9. Document(s) and page number(s) of an assessment procedure for students requiring both a theoretical understanding of the concepts and techniques and a demonstration of proficiency in the application
Attach file (if not already included)
Accepted file types: pdf, Max. file size: 5 MB.
Required Additional Information
CV / Resume including qualifications of course author (Kinesiology and other qualifications)*
Drop files here or

Accepted file types: pdf, doc, docx, Max. file size: 2 MB.
Alternatively, a letter of permission from the course author/s authorising the person submitting the course to be their course representative
Drop files here or

Accepted file types: pdf, doc, docx, Max. file size: 2 MB, Max. files: 5.
Session Plans*
Click here to download Session Plan template. (Click here for an example.)
Drop files here or

Accepted file types: pdf, doc, docx, Max. file size: 2 MB, Max. files: 5.
Assessment and Delivery Form*
Click here to download Assessment and Delivery Form template. (Click here for an example.)
Drop files here or

Accepted file types: pdf, doc, docx, Max. file size: 2 MB, Max. files: 2.
Assessment Templates (for practical, oral, written assessments, case studies or assignments)*
Click here to download practical, oral, written assessments, case studies/assignment assessment templates.
Drop files here or

Accepted file types: pdf, doc, docx, xls, xlsx, Max. file size: 2 MB, Max. files: 7.
Attendance Record
Class lists verifying twenty (20) students of which 15 must be new students to the course and in a minimum of three (3) classes. Click here to download template.
Drop files here or

Accepted file types: pdf, doc, docx, xls, xlsx, Max. file size: 2 MB, Max. files: 7.
List of Instructors and Examiners/Assessors*
Click here to download template.
Drop files here or

Accepted file types: pdf, doc, docx, xls, xlsx, Max. file size: 2 MB, Max. files: 2.
Evaluation Forms
Drop files here or

Accepted file types: pdf, doc, docx, Max. file size: 1 MB, Max. files: 10.
A copy of the attendance and Proficiency Certificates
Drop files here or

Accepted file types: pdf, doc, docx, Max. file size: 2 MB, Max. files: 5.
Advertising
Website
Course flyers/brochures
Drop files here or

Accepted file types: pdf, Max. file size: 5 MB, Max. files: 5.
Declaration
This course/ qualification complies with the current laws in Australia relative to copyright including any treaties and obligations to the International community. This course does not contain plagiarism. Where I have used other people’s works it has been in a lawful manner, the original sources have been acknowledged and attributed to the author thereof. The course / qualification complies with the scope of kinesiology, which is defined by the AKA – (refer Code of Practice). Specifically, there is no reference to diagnosing, prescribing or dispensing of any supplements in any of the materials submitted or taught.
Full Name*
First Last
Date*
DD slash MM slash YYYY
Signature*
Additional Declaration
Additional Declaration for person submitting a course who is not a current Registered Kinesiology Practitioner (formerly Level 2) with the AKA.
Name of course
Name of person submitting course
I am not a current a current Level 5 or higher level Registered Kinesiology Practitioner with the AKA. I undertake to complete the required training to become a current Level 5 or higher level Registered Kinesiology Practitioner with the AKA within two years of my course submission. I understand that failure to comply may result in my course being removed from the Accredited Courses List.
Signed

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We also acknowledge all our teachers and leaders of kinesiology that have come before us as we honour the traditional roots of kinesiology together.

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