Online Application - California College of Ayurveda

Apply Now for the Ayurvedic Health Counselor Program

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

Note: You will need to supply the school with proof of High School Graduation or the equivalent.

Upon approval of the application, a pre-enrollment interview must be scheduled with the Admissions Director or an Admissions Advisor before enrollment documents are sent.

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:

Best time to call:

Email address: *

U.S. Citizen/Permanent Resident

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

Country of Citizenship :

Comments:

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.

(A copy of your High School diploma, transcripts, or equivalent will be needed to complete the admissions process.)

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

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

Yes

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

Languages Spoken:

High School Diploma

Name of High School:

Address:

Date of Graduation:

GED/Other equivalency

Location:

Date Completed:

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 Counselor 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

Who is your admission advisor:

Please answer the following questions about your contact with us

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

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

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: *

Herbs & Products

Product List

Cookie	Duration	Description
cookielawinfo-checkbox-analytics	11 months	This cookie is set by GDPR Cookie Consent plugin. The cookie is used to store the user consent for the cookies in the category "Analytics".
cookielawinfo-checkbox-functional	11 months	The cookie is set by GDPR cookie consent to record the user consent for the cookies in the category "Functional".
cookielawinfo-checkbox-necessary	11 months	This cookie is set by GDPR Cookie Consent plugin. The cookies is used to store the user consent for the cookies in the category "Necessary".
cookielawinfo-checkbox-others	11 months	This cookie is set by GDPR Cookie Consent plugin. The cookie is used to store the user consent for the cookies in the category "Other.
cookielawinfo-checkbox-performance	11 months	This cookie is set by GDPR Cookie Consent plugin. The cookie is used to store the user consent for the cookies in the category "Performance".
viewed_cookie_policy	11 months	The cookie is set by the GDPR Cookie Consent plugin and is used to store whether or not user has consented to the use of cookies. It does not store any personal data.