C.L.E.A.N.® Food Certified Consultant Application Form

Applicant Information

First Name

Last Name

Company / Organization: *

Title / Role: *

Email Address: *

Phone Number: *

Address

Address line 1

Address line 2

City

State / Province / Region

Zip Code

Country

Website / LinkedIn Profile: *

Application Review Fee

A completed application and application review fee are required for formal consideration in the C.L.E.A.N.® Food Certified Consultant Program.

The current application review fee is $1,000 USD and is non-refundable. This fee covers application processing, administrative review, Standards Committee or Executive Committee evaluation, professional background review, and initial onboarding assessment.

Payment of the application review fee does not guarantee acceptance into the program.

Applicants who are accepted may be invited to proceed into the required consultant training pathway, which includes:

1. C.L.E.A.N.® Food Certification Foundations Course
2. Foundations of Systems Health™ Course
3. C.L.E.A.N.® Food Consultant Presentation Training
4. Supervised Practicum / Internship
5. Final written approval before representing C.L.E.A.N.® Food Certified

Payment Information

Please submit the $1,000 application review fee using one of the approved payment methods below.

1 supervised own,

Payment Instructions

Payment may be made online or by invoice.

Online Payment Link: *

Invoice Number (if applicable):

Transaction / Confirmation Number:

Date Paid:

Amount Paid:

Professional Background

Please describe your current work, business, or professional background.

Do you currently work with food brands, ingredient suppliers, supplement companies, manufacturers, retailers, restaurants, health professionals, or wellness companies?

Have you ever helped a company prepare for a food, supplement, quality, organic, non-GMO, safety, or certification-related review?

Do you currently have relationships with companies that may be interested in C.L.E.A.N.® or R.A.W.® certification?

What geographic region, industry sector, or market would you like to serve?

Interest in the Consultant Program

Why do you want to become a C.L.E.A.N.® Food Certified Consultant?

What do you believe makes C.L.E.A.N.® Food Certified different from other food certifications or clean- label programs?

Are you willing to complete the required consultant training before representing C.L.E.A.N.® Food Certified?

Are you willing to complete supervised presentations, roleplays, or client meetings before being approved to work independently?

Are you interested in being considered for a future Executive Consultant role, where you may help supervise or recruit other consultants?

Yes
No
Maybe in the future

Application Fee Acknowledgment

Please initial each statement.

initial *

I understand that a $1,000 application review fee is required for formal review of this application.

initial *

I understand that the application review fee is non-refundable.

initial *

I understand that payment of the application review fee does not guarantee acceptance into the C.L.E.A.N.® Food Certified Consultant Program.

initial *

I understand that payment of the application review fee does not guarantee acceptance into the C.L.E.A.N.® Food Certified Consultant Program.

initial *

I understand that if accepted, I may be required to pay additional fees for training, practicum, materials, licensing, or other program requirements.

initial *

I understand that I may not represent C.L.E.A.N.® Food Certified unless I am formally accepted, trained, approved, and authorized in writing.

Consultant Pathway Acknowledgment

Please initial each statement.

initial *

I understand that submitting this application does not guarantee acceptance into the C.L.E.A.N.® Food Certified Consultant Program.

initial *

I understand that all applications are subject to review by the C.L.E.A.N.® Food Certified Standards Committee, Executive Committee, or authorized review team.

initial *

I understand that I may not represent myself as a C.L.E.A.N.® Food Certified Consultant unless I am formally accepted, trained, approved, and authorized in writing.

initial *

I understand that approved consultants must complete required training, including the C.L.E.A.N.® Food Certification Foundations Course and the C.L.E.A.N.® Food Consultant Presentation Training.

initial *

I understand that approval may require supervised presentations, roleplays, or client meetings before I am
allowed to operate independently.

initial *

I understand that I may not promise certification approval to any company, product, restaurant, supplier, manufacturer, or brand.

initial *

I understand that I may not use C.L.E.A.N.® Food Certified, C.L.E.A.N.®, R.A.W.®, CytoSolve®, or related marks without written authorization.

initial *

I understand that I must follow approved presentation materials, scripts, standards, and communication guidelines.

initial *

I understand that all commissions, referral fees, overrides, and revenue-sharing arrangements must be approved in writing.

Conflict of Interest Disclosure

Do you currently represent, work for, own, or receive compensation from any competing certification, food labeling, auditing, testing, consulting, or clean-label organization? *

Are there any conflicts of interest C.L.E.A.N.® Food Certified should know about?

References

Please provide up to two professional references.

Reference 1:

Name *

First

Last

Company *

Email *

Phone *

Reference 2:

Name *

First

Last

Company *

Email *

Phone *

Applicant Certification

I certify that the information provided in this application is accurate to the best of my knowledge. I understand that C.L.E.A.N.® Food Certified may accept, conditionally accept, defer, or decline my application at its discretion.

I further understand that, if accepted, I must complete the required training, agreements, practicum, and final approval process before representing C.L.E.A.N.® Food Certified.

Applicant Name: *

First

Last

Date: *

C.L.E.A.N.® Food Certified Consultant Application Form

Applicant Information

Address

Application Review Fee

Payment Information

Payment Instructions

Professional Background

Area

Yes/No

Description

Interest in the Consultant Program

Application Fee Acknowledgment

Consultant Pathway Acknowledgment

Conflict of Interest Disclosure

References

Applicant Certification

What is Certified R.A.W. & C.L.E.A.N.?

GET CERTIFIED