california center for homeopathic education
Excellence in Homeopathy Training

P.O. Box 863
Escondido, CA 92033
(760) 466-7581
(866) 591-7430 - FAX
cchomeopathic@aol.com

APPLICATION FOR ADMISSION (Deadline December 31, 2008)

Please provide the following:

• A 1-2 page typed letter about why you are interested in attending this program.
• A curriculum vitae or a resume with your application. 
• Include information on your post-secondary education and previous homeopathic and/or health-care
  related education and personal facts of interest
  
  • (e.g. Children, Hobbies, Occupations)
• 2-3 letters of recommendation (professional, personal or academic) sent directly to us by your references.
• A $50 Application Fee (payable to the CCHE). 

Return this application and related materials to:
Dr. Cheryl Feng, CCHE, PO Box 863, Escondido, CA 92033
or fax to: 866-591-7430

Once the application process is complete, we will contact you to schedule an interview.
After the interview process, you will hear back from us within 1 week on your acceptance status. 
Once accepted, a $400 deposit is required by the date stated in your admissions letter to hold your place in the program. 
It will be deducted from the total deposit required by January 15, 2009 as stated in your admission materials.  If
you are provisionally accepted, conditions for your acceptance will be clearly stated in your letter.

Date: ________________

Name: _______________________________________________________________________

Address: ______________________________________________________________________

City: ________________________________State/Province:    ________ Zip: _____________

Country: ____________________________________ Citizenship: ________________________

Home Phone Number: _______________________Work / Alternate Phone Number: ________________

E-mail address:  _________________________________________

Emergency Contact: _____________________________________________________________

Date of Birth: ___________________ Sex: M _______   F ______

How did you hear about the California Center for Homeopathic Education? ________________
_____________________________________________________________________________

Have you ever been convicted of, pled guilty or no contest to, or forfeited bail for any criminal conduct
(misdemeanor or felony) under law or ordinance, excluding only minor traffic  violations?
(if yes, please attach a full explanation)   ______________________________________________

Have you ever been licensed as a health care provider (if so, attach a copy of your license? Yes No

If you are a health care provider, has your health care license ever been suspended or revoked?
(if so, please attach an explanation) Yes No

I attest and affirm that all information submitted in this application is true and accurate. I understand
that any misrepresentation or falsification, is sufficient cause for denial of admission and cancellation of enrollment.
This information may be reproduced for use during my interview.

____________________________________            __________________________
Signature                                                                     Date

If you have any questions, please contact Cheryl Feng at (760) 466-7581 or email CCHomeopathic@aol.com.

Thank you for your interest.  We look forward to meeting you.