Apply Form - Oshio College of Acupuncture and Herbology

Applying for (check one) *Tui-Na Therapeutic Massage Program3-year Acupuncture Program4-year Traditional Chinese Medicine Practitioner Program5-year Doctor of Traditional Chinese Medicine Program

To commence study in *JanuaryMaySeptember

Year *

Full name *

Date of Application *

Street Address *

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Date of birth

Citizen of *

Permanent resident of *

Do you need accommodations or support due to a long-term physical, sensory, cognitive, or health condition? *YesNoMaybe

Phone Number *

Email Address *

Education. Please list secondary school and post secondary schools and degrees *

Related training. Indicate previous training in Chinese medicine and/or related fields *

Work. Indicate your work experience for the last five years if it is applicable *

Finances. Explain how you will finance and support yourself while attending the program *

Personal essay. On a separate page, please discuss the processes and experiences that have led you to want to study Acupuncture/Chinese Medicine (maximum 500-600 words). *

Signature(name) *