Shang Shung Institute | Admissions

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Shang Shung | Institute of Tibetan Medicine

Traditional Tibetan Medicine Program | Spring 2008 Application

$50 Application Fee

First Name: *

Last Name: *

Age: *

Sex: *
Male
Female

Address 1: *

Address 2: *

City: *

State/Province: *

Country: *

Postal/Zip Code: *

Phone - Home: *

Phone - Mobile:

Email: *

Fax:

I plan to enroll in the new accredited 4-Year Traditional Tibetan Medicine Certification Program. ($2,500 per semester) *

Education: (Please include school, degree and dates attended.) *

Training: (Please included program/workshop, classes, instructor and dates attended.) *

References: (Please include at least one professional, one personal and one academic reference.) *

Do you have any of the following special skills? *
Fundraising/development
Organization/secretarial/typing/transcribing
Farm management or agricultural experience

Do you plan to enroll in some classes for CEU (Continuing Education Unit) credits?

Please write a brief essay on why you wish to attend the Shang Shung Institute Tibetan Medicine Program [Please include background or personal capacity you have which has prepared you for a rigorous program in Tibetan Medicine, your goals for the future and other relevant information]: *

Request dorm accommodation on-site: (On-site accommodations available for up to a potential of two semesters only.) *

Do you have previous experience with cooperative living? *