Community Herbalism Course Application

WE HAVE CLOSED ENROLLMENT FOR THE 2024-2025 DUE TO MAX CAPACITY.
PLEASE EMAIL COMMUNITY@AMBERGRAZIANO.COM TO BE ON THE WAITLIST FOR NEXT YEAR OR TO LEARN ABOUT INDIVIDUAL HERB CLASSES AND MEDICINE MAKING OPPORTUNITIES. Thank you for your interest. Wishing you a beautiful year. -Amber Graziano

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Name and Pronouns  *
Date of Birth  *
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Email Address *
Phone Number  *
Mailing Address  *
Emergency Contact Name & Phone Number  *
Why are you interested in pursuing herbalism and medicine-making right now? What do you hope to do gain from this herbal education?
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What is your favorite plant, herb, tree, mushroom, etc. in this moment and why?
Do you have any previous experience in herbalism or gardening? 
How do you typically like to contribute to group work or activities? Please share any insights into your approach, preferred roles and experience in a group setting
What is your preferred learning style? Auditory, visual, hands-on, reading/writing, social/interpersonal?
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Do you like to take notes on a computer or on paper? Would you like a digital copy of the course handbook, or a printed copy of the course handbook?
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What body system are you most interested in learning about? Ie. nervous system, digestive system, immune system, etc
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Do you have any experience with ritual either personal or in a group? If yes, please elaborate.
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Have you made any herbal medicine or body care products before? If yes, please list them. What are you most interested in learning to make?
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What would you be most excited to have in your home apothecary?
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Is there a project or subject matter you would like to focus on in this course? Do you have any personal health issues that you want to learn more about?
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Do you have any skills, talents or resources that you want to share with this community? (Photography, gardening, ritual work, graphic design, other hobbies or practices, etc.)
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Do you have any accessibility requirements you would like us to be aware of?
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Investment for the Community Herbalism Program is selected by the participant from the following tiered rates below. A $200, non -refundable deposit is due with this application and is applied toward tuition. Which rate will you be choosing?
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Would you like information about monthly payment plans? 
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Can you commit to completing this program? Including time, course cost and related expenses (transportation, herb of the month supplies, living, etc.)
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Thank you for your time and consideration. I'm so excited for this year of community building, medicine making and herbal learning. 
-Amber Graziano, Clinical Herbalist, Nutritionist, Manager - Rebecca's Apothecary & Lead Instructor 
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