Lifestyle Program: Year 1 Application

Tuition: $1650

Registration Steps:

Pay your non-refundable deposit of $500.
Complete the online application below.
This finalizes your spot in the program.
Payment balances due:
$550 by November 15
$550 by February 6

Please budget an additional $200 for books and class supplies.

Payment may be made at Appalachian Acupuncture, Tues–Thurs 9am-5pm, Friday 9am-1pm.
We accept cash, check or credit card. Card payment by phone: 423-928-9394.

If you would prefer to print your application, you may do so by clicking the button below. Once filled out please bring or mail it with your deposit to Appalachian Acupuncture, 113 E. Unaka Ave, Johnson City, TN 37601.

For any concerns or questions, please contact Michelle Bouton: Michelle@HERBalachia.com

DOWNLOAD A PRINTABLE APPLICATION

Name*
First Last
Email*
Phone*
Alternate Phone (Optional)
Address*
Street Address City State ZIP Code
Emergency Contact*
First Last
Emergency Contact Phone*
How did you hear about HERBalachia?*
Describe any formal medical or herbal training you have had.*
What other experiences have you had with herbs?*
Describe your current interactions with herbs: growing, cooking, medicinal use, etc*
What are your specific goals for this program?*
Do you plan to continue through clinical program to become community herbalist?*
Describe any concerns about your ability to fulfill course requirements: class attendance, reading assignments, written projects, moderate physical exertion on field/woods walks, etc.*
HERBalachia Updates*
- I agree to receive occasional updates from HERBalachia. I understand that I may unsubscribe at any time.
Email
This field is for validation purposes and should be left unchanged.

Lifestyle Program: Year 1 Application

Tuition: $1650

Registration Steps:

Pin It on Pinterest