California Center for Homeopathic Education
P.O. Box 863
Escondido, CA 92033
(760) 466-7581
www.cchomeopathic.com

APPLICATION FOR ADMISSION

Instructions

• Please provide the information requested.
• Write a 1-2 page typed letter about why you are interested in attending this program and include it with your application.
• Include a curriculum vitae or a resume with your application.  Please include information on your post-secondary education and any previous homeopathic and/or health-care related education.
• Include a $50 Application Fee (to Cheryl Feng).  This fee is non-refundable.
• Return this application and related materials to:
  Cheryl Feng, California Center for Homeopathic Education, P.O. Box 863, Escondido, CA 92033.
• Once the application process is complete, we will contact you regarding acceptance or if we have any questions.

Date: ________________

Name: _______________________________________________________________________

Address: ______________________________________________________________________

City: ________________________________State/Province:    ________ Zip: _____________

Country: ____________________________________

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? ________________
_____________________________________________________________________________

____________________________________            __________________________
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 seeing you.