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2008 Botanical Medicine Program - Registration

2008 Botanical Medicine Program Full Payment: US$2450.00
Registration Instructions:
Step 1:

Fill out the form below and press the Submit button at the bottom of this page.
Step 2: After submitting, pay deposit by credit card using the payment button on the Payment Page.

Important:

Please read both the payment summary and the refund policy carefully before you apply. If you have questions about the program, please call us before you apply and we will be happy to discuss the program with you to make sure it fits your needs. Do not apply for this program unless you are confident that you can attend all the scheduled classes.

Payment Summary:

  • After March 31, 2008, the full payment of $2450.00 must be made in order to enroll in the program.
Refund Policies:

We will make no refunds after March 31, 2008. We will not make refunds or offer make-up sessions for any classes missed by the student.
 

Step 1:

The following is required:*

*I have read the above payment and refund policies and agree to the terms of both:

YES

*Name:
*E-Mail:
*Street Address:
*City:
*State:
*Zip Code:
*Home Phone:
Work Phone:
Cell Phone:
Also please fill out the following:  
Information About This Form
 

Training Since High School: (Please include any licenses or certificates including, massage therapist, acupuncture etc.)
1. Institution; Dates Attended; Degree/Certificate (if any):
2. Institution; Dates Attended; Degree/Certificate (if any):
3. Institution; Dates Attended; Degree/Certificate (if any):
Education - What is your highest level of education?:
High school graduation

College - Under two years

College - 2 year degree
College - Under 4 years
College - 4 year degree
College - Masters Degree
College - Doctorate

*Date of High School Graduation:

If you have attended College, please list your field of study:

Professional/Job/Life Experience History:

1. * Your current employment. Date; History:

2. Date; History:

Some Questions:
 
*1. How did you become interested in Herbal Medicine?

*2. How long have you been studying about herbs?

*3. Have you studied with any other Herbalists?
     If yes, please tell us about your prior studies.

*4. Why did you decide to enroll in this Herbal Program?

*5. What are you hoping to accomplish by the end of the
      program?

6. Any other comments?

 
 
 
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