Apply Now - Ayurvedic Health Educator program

Apply Now - Ayurvedic Health Educator program

$150.00

SKU: online-application

To process your application, it is essential that you submit payment online for the non-refundable application fee.

Note: Upon approval of the application, a pre-enrollment interview must be scheduled with the Enrollment Director before enrollment documents are sent. All students will have the opportunity to speak by phone with CCA founder Dr. Marc Halpern in a prospective student teleconference. Please contact the Enrollment Dept to schedule at 866-541-6699 ext. 0.

Price: $150.00

Personal Information

Last Name: *

First Name: *

Middle Initial:

Other name(s) which may appear on documentation :

Mailing Address: *

City : *

State:

Zip/Postal Code:

Daytime Telephone: *

Evening Telephone:

Email address : *

U.S. Citizen/Permanent Resident

Are you a U.S. Citizen/Permanent Resident?:

Country of Citizenship :

Visa Type:

Issue Date:

Current Occupation:

Employer :

Emergency Contact

Name :

Daytime Telephone :

Evening Telephone:

How did you first hear about CCA: *

Did a student or graduate refer you? If so, please tell us who so that we can send a proper thank you.:

Educational Information

Verification of a high school level of education or equivalent is required with your application. A college transcript or diploma is acceptable and an official copy is NOT required.

Do you have a high school diploma or equivalency? : *

Have you ever been enrolled in another Ayurvedic school or program?:

Yes

No

If yes, please specify (Include home study programs):

Post -secondary Education:

Regardless of whether you earned a degree, please list all post-secondary schools which you have attended.
Include, name, address, degree received, and dates attended.

Professional Training :

Please list additional professional training you have received.
Include name, address, type of training, and dates attended.

Hobbies/Interests:

Languages Spoken:

Enrollment Details

Please check which program and level you would like to enroll in

Location and Format:

Desired Start Date:

* (Application process including pre-enrollment phone meeting must be completed a minimum of 3 weeks prior to requested start date)

Program Level: *

Ayurvedic Health Educator Program (Level One)

Placement Exam

Must complete prior level/s to enroll or test out of prior level. Prior approved Ayurvedic Course work required to take placement exam

Please answer the following questions about your contact with us

Have you ever participated in a teleconference with Dr. Marc Halpern? :

Have you had a phone consultation or tour of CCA?:

Have you visited the CCA and had a tour with a Staff member? Y?:

CCA’s programs are an English language program. Please check one of the following:: *

I certify that English is my first language.

I certify that I am proficient in the English language.

Affirmation: *

I affirm that the information I have provided is accurate to the best of my knowledge.

Affirmation: *

I affirm that a non-refundable fee of $150.00 is required in order to submit my application.

Quantity: *

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