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Apply Now! The East West College of Natural Medicine (EWCNM) admits qualified students of any race, gender, sexual orientation, national or ethnic origin to all rights, privileges, programs, and activities generally accorded or made available to students at the school. EWCNM does not discriminate on the basis of race, gender, sexual orientation or national or ethnic origin in the administration of its educational policies, admission policies or other school administered programs. Applying for Year/Term Choose an option Last Name Preferred Nickname Address Type of Student Choose an option First Name Previous or Maiden Name Birthday Middle Name Email Social Security Number Code Phone Citizenship Choose an option High School / GED Center Attended: Have you ever applied to EWCNM in the past? Choose an option How did you hear about EWCNM? Choose an option Emergency Contact Address If Other, Name of Country: City and State: If Other, Residency/VISA Status: Month and Year Graduated: Have you ever been dismissed or suspended from any College, University or Acupuncture Program for any reason? Choose an option Emergency Contact Name: Emergency Contact Phone Relationship Emergency Contact Email List ALL Colleges, Universities & Post Secondary Schools attended, beginning with the most recently attended. Official Transcripts must be mailed from each school directly to the EWCNM Admissions Department. All transcripts from schools outside of the U.S. must be sent directly to EWCNM from a licensed independent transcript evaluation company. Institution Attended (Name, City, and State) Dates Attended Major Field of Study Degree Awarded Credit Hours Earned Grade Point Average Institution Attended (Name, City, and State) Dates Attended Major Field of Study Degree Awarded Credit Hours Earned Grade Point Average Institution Attended (Name, City, and State) Dates Attended Major Field of Study Degree Awarded Credit Hours Earned Grade Point Average Institution Attended (Name, City, and State) Dates Attended Major Field of Study Degree Awarded Credit Hours Earned Grade Point Average Dates Employed Name of Employer Location (City/State) Job Title Nature of Work Dates Employed Name of Employer Location (City/State) Job Title Nature of Work Dates Employed Name of Employer Location (City/State) Job Title Nature of Work Have you ever declared bankruptcy? Do you currently have outstanding student loans? Have you ever been convicted of a crime? Have you ever defaulted on a loan? Will you be applying for federal student loans? If yes, what type of crime? If you have been convicted of a crime, you must complete a detailed statement that includes all relative dates, jurisdictions, charges and any imposed sentences and probation information. The statement must be typed and attached to this application. Part V: Personal Essay Essays must be typed on a separate sheet of paper and emailed to the Director of Admissions. The essay must be a minimum of 300 words and a maximum of 500 words. The essay must address the following: Describe the personal and professional experiences that have led you to a career in Acupuncture and Herbal Medicine. What are your professional goals and how do you plan to achieve them? EWCNM requires two recommendation forms and ask they be completed by teachers, spiritual leaders, co- workers, supervisors or other professionals that are willing to comment on your ability to engage in an advanced educational and professional program, as well as your potential as a health care practitioner. Recommendations will not be accepted from relatives or people living in the same household. Please provide each of your references with the EWCNM “Recommendation Form” and ask them to return the form directly to EWCNM. The following items must be submitted to Admissions prior to your Academic Interview: 1. Personal Essay (see Part V for details) 2. Copy of high school diploma or transcripts (or GED documentation) 3. Non-Refundable Application Fee ($100) or $150 for International Students The following items must be requested by the applicant to be sent directly to East West College of Natural Medicine. 1. Official transcripts from each post-secondary school previously attended (see Part II for details) 2. Two recommendation forms By signing below, I understand that all materials filed in support of this application are not returnable and will become part of my permanent record at the East West College of Natural Medicine. Furthermore, I certify that all information given on this application is true and correct. If the information on this application changes between now and my matriculation into EWCNM, I will notify the Admissions Department. I authorize the East West College of Natural Medicine to investigate all statements on this application and to request a background/credit check if necessary. Your Signature Clear Select a date Application Form and Essay can be returned by mail or email to: East West College of Natural Medicine 3808 N. Tamiami Trail Sarasota, FL 34234 Admissions@myewcnm.org Phone: (941) 355-9080 Submit Thanks for submitting! Application for East West College of Natural Medicine Application for East West College of Natural Medicine Application for East West College of Natural Medicine Part I: Personal Information Part II: Educational History Part III: Career/Professional History Part IV: Financial and Legal Information Part VI: Recommendation Forms Part VII: Submission of Application

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