THM Application

If you would like to join any of our THM Herbal Programs please fill in your details in this Application Form below and submit the application fee.

*Applications are reviewed on an ongoing basis. Applicants are strongly urged to submit application materials as early as possible due to limited class size. Incomplete applications will not be considered.

*An interview with the Program Director may be required.

All materials and information filed during this application process become part of your permanent, confidential record and are not returnable.

We look forward to learning more about you.

***Upon acceptance you will be forwarded an acceptance letter and further information permitting to the study of Herbal Medicine at ITM.

Which THM Program are you applying to? *

Diploma
Certificate (No Clinical)
Community/Family
Clinical Only

Which Term are you applying for? *

Fall
Winter
Spring

Full/Part-Time *

Full
Part-Time

Name *

First

Last

Gender Identity *

Pronouns *

Email *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Phone *

Emergencty Contact (Name, Phone Number, Relationship) *

Educational Background *Include Dates/Institute *

Related Training in Herbal Medicine/Healthcare (*Previous experience not required) *

Employment History *Most recent include dates and location *

Financial Situation (Briefly explain how you will finance your tuition, books/materials fees and support yourself while you are enrolled in the program. *

Additional Info (that may help us to support you in the training (incl mental/physical conditions, previous convictions) *

Personal Reflection of Intent * Please discuss the process and experiences that have led to your interest in the THM Program. *

Letter of Recommendation *Include the Name and Relationship of your Reference. References can come from teachers, employers, other professionals (excluding relatives) who can comment on your potential in this field of study and practice. *

File Upload: Please upload any supporting documents such as Transcripts, Diplomas, Letters of Reference

Click or drag files to this area to upload. You can upload up to 10 files.

Declaration *

Agreed

By checking this box and submitting this application/registration I acknowledge and agree to the following: *All information filed during this application process become part of your permanent, confidential record. Declaration: I hereby attest that all statements on this application form are true and complete in all respects, and no relevant information has been withheld. I agree and abide by the policies, rules and regulations of the Institute of Traditional Medicine.

Refund Policies *

Agreed

By checking this box and submitting this application/registration I acknowledge and agree to the following Refund Policies & Cancellations For any students/participants who wish to withdraw or cancel enrolment in the program or any classes, formal written notice must be given to the the Institute via email to info@itmworld.org. Students are not eligible for any refunds without formal written notice. *There are no refunds on the application fee. For any students/participants who wish to withdraw or cancel enrolment in the program or any classes, formal written notice must be given to the Director of the Institute. I acknowledge that I have thoroughly read and agree to the Refund Policies listed in the THM Catalogue for the Application and Tuition Fees.

Waiver *

Agreed

By checking this box and submitting this application/registration I acknowledge and agree to the following: I, the participant release the organizers of the training and their directors, sponsors, employees and agents from any liability for death, disability, injury and property damage. The participant acknowledges the risks involved with participating in the program, and assumes all responsibility, and waives any claims they may have. The participant agrees that they have informed the organizers of any relevant medical (health or mental) concerns that they may have. *I am acknowledging that I have read, understand and agree to the refund and cancellation policies and waiver, and understand and agree that a default in my tuition obligations for this program will be submitted to a third party and may affect my credit rating.

Application Fee (Non-Refundable) *

Diploma & Certificates - $113.00
Clinic Only - $56.50

Late Application Fee: If applying after the deadline, please include the late fee. *Application Due Dates: Fall: May 28; Winter: September 28; Spring: December 28 (copy)

Late Fee - $56.50

Coupon

Total *

$0.00

Application Fee

Payment Information *

Card

Name on Card