Registration / Application – David Winston's Center for Herbal Studies

Email address *

Password *

Password Repeat *

Full Name: *

Phone *

Address Line 1 *

City *

State *

Zip/Postal Code *

Country *

Would you like to apply for student access? Yes

Why do you want to attend this course? How do you intend to use the information gained from this course?

How did you hear about the Herbal Studies program?

Student Referral

Affiliate Number if Applicable

Letter of Recommendation

Background in Herbal Medicine

Certificates from Background

Backgroud on study of allied topics

Copy of any certificates or degrees for allied topics

Taken/Enrolled in Prerequisite College Level Anatomy & Physiology

Prerequisite Class Transcript

Enrolled Prerequisite Class Information

Medical training? (MD, RN, OMD, RD, ND, DC, etc.)

This program requires a two year commitment. Are there any situations that would prevent you from making this commitment?

In addition to class time all Students are expected to do supplemental reading, case histories, diagnostics practice and one class project per year. Are you able to do this?

Student loans are not available for this program. Can you commit to the financial responsibilities involved?

Your personal data will be used to support your experience throughout this website, to manage access to your account, and for other purposes described in our privacy policy.

** Important Note! Only press submit once - and make sure to use a strong password. Please be patient when submitting to account for upload time. If your application is successful, you will automatically be logged into the website.