Student Application
  1. Applicant Information
  2. Name(*)
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  3. Mailing Address(*)
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  4. Home Phone(*)
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  5. business phone
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  6. fax
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  7. date of birth
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  8. Are you a resident of the United States? (If no, please contact the Admissions Director)(*)
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  9. Email Address
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  10. Occupation
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  11. Social Security Number
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  12. Place of Birth
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  13. Emergency Contact Information
  14. Name
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  15. Mailing Address
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  16. Phone
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  17. Business Phone
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  18. Relationship
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  19. Evaluator Information - The attached evaluation forms must be given to three people whom you have known at least 3 years. These people may be employers, teachers, colleagues, or professionals with whom you have been associated. They may not be given to relatives. Please sign and date all three forms before giving them out to the evaluators. The evaluators must then mail the completed forms directly to Jung Tao School. Below, list information for the three individuals who will be sending us evaluations.
  20. Evaluator 1 Name
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  21. Evaluator 1 Phone
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  22. Evaluator 2 Name
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  23. Evaluator 2 Phone
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  24. Evaluator 3 Name
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  25. Evaluator 3 Phone
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  26. Education Information - Below, list the name, location, and hours completed for each institution of higher education you have attended. Please have each institution mail an official transcript directly to Jung Tao School. Please remember that you must have at least 60 hours of undergraduate credit to qualify for admission into Jung Tao School, and 72 hours of undergraduate credit to qualify for Title IV Financial Aid.
  27. Institution 1
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  28. Institution 2
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  29. Institution 3
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  30. Institution 4
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  31. How do you plan to finance your education at Jung Tao School?(*)
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  32.  
  1. How did you hear about Jung Tao School?
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  2. Have you had any previous training in Chinese Medicine? (If yes, please describe)
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  3. Have you had any previous training in any other health care profession? (If yes, please describe)
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  4. Have you ever been convicted of a felony? (If yes, please describe)
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  5. By submitting this application, I hereby certify that all information provided in this document and all forthcoming and submitted materials are accurate and complete. I understand that any misrepresentation may constitute grounds for dismissal.
  6. Submit