Application to Energy Medicine University
Please fill out this form to start the application process to Energy Medicine University. Once completed, you will be contacted by our Registrar, Anna Haight via the email provided below, with instruction on next steps.
Email address *
First and Last Name *
"Mary Smith"
Your answer
Mailing address - Street *
Your answer
Mailing address - City, State (Province), Postal Code *
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Country *
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Skype Address *
If no Skype address, simply respond "None"
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Telephone (Home)
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Telephone (Work)
Your answer
Telephone (Cell)
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Your website URL
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Which program are you interested in? *
Required
If interested in Certificate in Integrative Holistic Health - choose concentration below
I have read a both the School Catalog found on its website and the contents of the website which have informed me of the rules, regulations, course completion requirements, and costs for the specific course/program in which I am applying. The information I have supplied on my application is true and accurate. I give the School permission to verify my records and information for entrance into the program. *
NOTICE CONCERNING TRANSFERABILITY OF CREDITS AND CREDENTIALS EARNED AT OUR INSTITUTION The transferability of credits you earn at Academy of Intuition Medicine® & Energy Medicine University is at the complete discretion of an institution to which you may seek to transfer. Acceptance of any diploma, or certificate you earn at this School is also at the complete discretion of the institution to which you may seek to transfer. If the credits, diploma, or certificate that you earn at this institution are not accepted at the institution to which you seek to transfer, you may be required to repeat some or all of your coursework at that institution. For this reason you should make certain that your attendance at this institution will meet your educational goals. This may include contacting an institution to which you may seek to transfer after attending Academy of Intuition Medicine® & Energy Medicine University to determine if your credits, diploma or certificate will transfer.Academy of Intuition Medicine® & Energy Medicine University has not entered into any transfer agreement with other colleges or universities that provide for credits earned in any program of instruction. *
I have read the School Performance Fact sheet. *
How would you like to pay your application fee?
By clicking "Submit" I DECLARE THAT THE INFORMATION ON THIS APPLICATION IS TRUE AND CORRECT, TO THE BEST OF MY KNOWLEDGE, AND COMPOSED WHOLLY BY MYSELF. THE ABOVE INFORMATION IS CONSIDERED PRIVATE AND IS FOR INTERNAL USE BY ACADEMY/UNIVERSITY ONLY. THE ACADEMY/UNIVERSITY MAY USE ANY PORTION OF THE ABOVE INFORMATION IN CONSIDERING THE ADVISABILITY OF MY ADMISSION. ANY WILLFUL MISREPRESENTATION IN THESE ANSWERS MAY DISQUALIFY ME EVEN AFTER ACCEPTANCE FOR ADMISSION. PHOTOGRAPHS ARE OCCASIONALLY TAKEN IN THE SCHOOL SHOWING STUDENTS AT WORK AND BECAUSE I MAY APPEAR IN SUCH PHOTOGRAPHS, I HEREBY GIVE PERMISSION FOR THEM TO BE USED FOR SCHOOL PUBLICITY AND ADVERTISING. *
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