Intro to Herbalism Intensive
This is the 2023 application for a three season, 135-hour weekend herbal program exploring health, resilience and the plant world. The program is led by Michelle Soto, Jocelyn Kirkwood and Vilde Chaya Fenster-Ehrlich.  Our dates for the 2023 program are: 3/18-3/19, 4/22-4/23, 5/20-5/21, 6/24-6/25, 7/22-7/23, 8/26-8/27, 9/23-9/24, 10/14-10/15, 11/4-11/5. Our classes are a mixture of in-person outside classes,  online Zoom classes and prerecorded content. Attending in-person classes via Zoom is always an option- we want everyone to be able to access the program.  

Please fill out each question with a full and robust answer (though we have marked some questions as optional, so don't feel compelled to share anything that you'd rather not).  We will follow up with you via phone or email after your application has been processed.  A $300 deposit is due with your application.
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电子邮件地址 *
****** Personal Information ******
Your name *
Pronouns *
she, he, they, ze, etc.
Phone *
Ethnicity
Haitian, Jewish, French, Korean, Latinx, etc.
Race
Asian, Pacific Islander, Black, White, etc.
Birthdate *
Month, day and year
Gender Identity
Female, Male, Transgender, non-binary etc.
Sexual orientation
Bisexual, Lesbian, Gay, Straight, Queer, Pan, etc.
Spiritual or Religious Observation
Muslim, Hindu, Jewish, Buddhist, Jain, Catholic, mysticism etc.
Emergency contact *
Name, phone and their relationship to you.
What town or neighborhood do you live in? *
****** Program Questions ******
Why do you want to take this course? What do you hope to get out of this course? *
How did you learn of this program? *
What experience do you have working with and using plants and herbs? *
****** Logistics ******
We will spend time outside (walking, standing and sitting all for periods of time) on plant walks, gardening and lectures, sometimes in cold, hot, rain, snow, or sun. What would make these activities more accessible for you?  Do you have concerns about going on plant walks, sitting in class for several hours, participating via Zoom, or any other part of the course?
Do you have a car? Are you comfortable being in a car for up to two hours (for field trips!)? (Carpooling may be available if safety permits.) *
Will you be able to wear a mask and socially distance during in person classes and abide by any safety guidelines set up by instructors?  See our current COVID safety guidelines on our website. *
Will you be able to make all of the scheduled class weekends? *
Handsome certificate of completion will be dependent on satisfying 135 class hours.
Will you be able to dedicate time outside of the class weekend to complete homework (listening to podcasts, reading stories, doing research, etc)? *
Payment
Tuition is $1800, which is nonrefundable. We require a $300 deposit due by 2/1/2023. Note that there will be some additional out-of-pocket costs, including gas money, medicine-making supplies and books.

There are some scholarship positions for indigenous people, people of color and trans and non-binary folks. In our work as white herbalists, we strongly believe in taking steps to address the patterns of colonization and white supremacy in our herbal practices, and to help bolster the many forms of resistance to the systems and structures of oppression we live under. This includes trying to make this course more accessible to BIPOC and trans folks.
Given that you paid the $300 deposit, which option applies…
 *
必填
How will you pay? *
Details on how to pay are below!
Applying for scholarship or work-trade
This section is optional. Complete only you are a person of color, indigenous and/or trans/non-binary and would like to apply for a scholarship; or if you are applying for a work-trade position.
I'd like to apply for a scholarship or work trade.
(Please check one or more of the following: "I am...)
What amount of scholarship/work-trade are you applying for?
清除所选内容
Paying by check
Please make checks payable to Jocelyn Kirkwood, and send to:
Jocelyn Kirkwood
1307 Spring Garden Ave.
Pittsburgh, PA 15212
Paying by paypal
http://paypal.me/vildechaya/
Paying by venmo
@vildechaya
Paying by square cash
http://cash.me/$VildeChaya/
Paying by credit card
We prefer payments by other methods, as there is a fee for us to take credit card payments. However, if this is the best way for you to pay, here are links to our online payment gateway:

To pay $300 deposit by credit card: https://link.waveapps.com/cgbynk-rz4v3f

To pay full $1800 tuition by credit card: https://link.waveapps.com/kynngg-62xzsc

For other amounts, please contact us and we'll send you an invoice!

Paying by cash
If you are paying by cash or credit card, we will make arrangements for payment when your application is accepted.
Signature *
To sign this application, enter your full name and the date below.
Date *
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