2019 Advanced Clinical Program Application
Fill out this form to register for the 2019 Advanced Clinical Program at The Blue Ridge School of Herbal Medicine.

Once you fill out this application and pay the $100 application fee (via a different button on our website), you will be contacted to set up an interview to determine acceptance into the program.

Note: Each program has a different application.

Please ask any questions and research our programs fully before you send in your application.
In other words, ONLY fill out this application if you are sure you are ready!

You can find out more about each class at BlueRidgeSchool.org

Name *
Your answer
Pronoun (She/Him/They/Other) *
Your answer
Email *
Your answer
Phone Number *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Birthdate *
Your answer
Age *
Your answer
Where did you receive your herbal certification(s)? *
Please list all programs of study and hours. This includes any related college courses (Anatomy & Physiology; Botany; Psychology etc.)
Your answer
What do you feel are your strengths as an herbalist, that you will bring into your Clinical studies? *
Your answer
What are you most interested in learning? *
Your answer
What are you passions, hobbies and/or interests?
Your answer
How well do you work in a group setting? *
Your answer
How did you hear about the Blue Ridge School of Herbal Medicine? *
Your answer
Can you commit to completing this program? *
Including tuition ($4600) and related expenses (books, approximately $250).
Tuition for the Advanced Clinical Program is $4600. A $600 non-refundable deposit is due upon acceptance into the program to reserve your place and is applied toward your tuition. *
A $100 non-refundable application fee is due with this application, payable by PayPal.
How will you be paying for this course? *
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