Are you a TCM student or a practicing TCM practitioner?
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Full Name (First and Last name) *
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Phone *
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Mailing Address (Street number and name, Apartment or unit and its number, City, state, and zip code) *
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Credentials (please provide highest academic degrees earned, specialty, and state acupuncture license number. Also, please send your CV to globaltcm@globaltcm.com) *
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I understand that along with this application form, I need to submit my CV to the following email address: globaltcm@globaltcm.com *
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Do you have experience of at least two years (within the last five years) in the specialized area in which you are doing research? *
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I certify that all statements contained in this application are true and correct. *
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A copy of your responses will be emailed to the address you provided.