Apply Now - Educational Programs | CA College of Ayurveda :: Ayurveda School

Apply Now - Educational Programs

To process your application, it is essential that you submit payment for a non-refundable application fee. You may call in your application payment at 866-541-6699 ext 0, send your payment details by fax to 530-274-7350 or send us a check.
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. 211.

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

Documentation for verification is required with application submission

Do you have a high school diploma or equivalency? :

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:

Please enter your desired start date (include month and year). Note that applications must be received 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?:

Affirmation: *

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

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