Advanced Application

Application for Admission to the Advanced Program

"*" indicates required fields

Application Fee: Please pay a $50 application fee at this link: https://clinicalherbalism.com/pay-tuition/ and in the comment field please write Advanced Application Fee.

Legal Name*

First Last

Name you go by:

First Last

Local Address*

Street Address City State ZIP Code

Permanent Address, if different

Street Address City State ZIP Code

Phone*

Email*

Last Four Numbers of Your Social Security Number

What year and Fundamentals Program (Day/Eve) did you complete at CSCH?

Please use the drop down menu to select which program you are applying to.

Please upload documents below.

Please write and attach a 1 page essay describing why you want to attend the Advanced program at CSCH.

Drop files here or

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

Date*

This field is for validation purposes and should be left unchanged.

Application for Admission to the Advanced Program

Please upload documents below.

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