Foundations of Herbalism Registration
Registration closes July 15, 2022.
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Email *
Name: *
Phone # *
City, State *
Which program are you applying for? *
Current educational degrees, certificates, diplomas: *
Current occupation: *
Age: *
Do you have any significant medical conditions or allergies? *
Emergency contact (name & phone #) *
Gender (and pronouns):
Why you wish to join the program? *
Describe your current experience level with herbalism: *
Have you formally studied herbalism before? If so, under who or where/which program: *
What are you hoping to gain from this program? What after your goals are completion? *
What subjects most interest you?
Are there any subjects NOT mentioned in the program description that interest you?
Are you interested in learning more about scholarship opportunities for racialized people?
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Do you have any questions about the program?
How did you hear about us? *
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