Application for Admission to Fundamentals Program

424 E Simpson St., Unit A
Lafayette, CO 80026
720-406-8609
apply@clinicalherbalism.com

There is a $50 application fee that is non-refundable.

Legal Name(Required)

First Last

Name you go by:

First Last

Local Address(Required)

Street Address City State ZIP Code

Permanent Address, if different

Street Address City State ZIP Code

Phone(Required)

Email(Required)

Are you a U.S. Citizen(Required)

Yes

Do you have any physical limitations which we should be aware of to accommodate your needs in the classroom or in the field?(Required)

Yes

Note, we do not need details on this application. We will discuss options during pre-enrollment.

How did you hear about CSCH?

Required Documentation (Please submit all 3 with this application form.)

A resume of your previous employment and education.
Proof of a high school education or college attendance (e.g., copy of diploma, completed transcript, GED).
A 1-2 page essay describing why you want to attend this school and how you think the education fits with your calling/life-vision. Include any previous herbal studies/experience.

Upload Documents(Required)

Drop files here or

Max. file size: 50 MB, Max. files: 4.

To sign type your name below

By entering your name above, you officially apply to the Colorado School of Clinical Herbalism

Date(Required)

Application Fee

Price:

Credit Card(Required)

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

Billing Address(Required)

Street Address City State ZIP Code

Phone

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Application for Admission