Foundations of Herbalism ProgramRegistration Form Name* Email* Phone* Street Address/P.O. Box* City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareWashington DCFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennslyvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code* Choose your program option and payment details What program option would you like to enroll in? Learn more about our program information. Full AccessOn-Demand Choose your Full Access student payment option $100 deposit today. Tuition balance ($1400.00) on or before February 1, 2022.Tuition payment in full today, $1400.00$100 deposit today and payments of $140.00 per month beginning February 1, 2022, and ending November 1, 2022. Choose your On-Demand Student payment option $100 deposit today. Tuition balance ($700.00) on or before March 1, 2022.Tuition payment in full today, $700.00.$100 deposit today and payments of $70.00 per month beginning on March 1, 2022, and ending December 1, 2022. Please Tell Us a Little About Yourself How did you hear about this program?* Character Limit:1600 How would you describe yourself in terms of your experience using herbal medicine*: Character Limit:1600 If you have studied herbalism before? If so, please describe. Character Limit:1600 Tell us about any of herb books that you refer to for herbal advice.* Character Limit:1600 Do you currently use herbs for your own health care?* [radio* radio-28 use_label_element default:1 "Yes" "No"] If so, please share some of your experiences using herbal remedies. Character Limit:1600 How do you hope to use the information you will learn in this program? Character Limit:1600 How do you hope to use the information you will learn in this program?* Character Limit:3200 Do you have training in other healing modalities (medical license, massage therapist, acupuncturist, etc.)?* Is there anything else you would like us to know about you and your herbal aspirations? Character Limit:1600 After you complete this application you must submit payment for the program. When you click the button "Submit & Pay" below you will be redirected to a payment page. If there is no deposit paid for the program, the application is considered incomplete. Thank you for the support!
