AOMA Graduate School of Integrative Medicine

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Online Application Form

 

Instructions:
In order to facilitate the on-line application process, please have the following information ready. You will not be able to save your work once you begin. We sincerely look forward to reviewing your application.

  • All pertinent personal information
  • Name and address of two emergency contacts
  • Visa/Green Card number (if applicable)
  • Names of all educational institutions attended and dates of attendance
  • Names of recent/major employers and dates of employment
  • Names and contact info for two (2) references who have agreed to submit a letter of recommendation on your behalf

The nonrefundable $75 application fee for the graduate programs can be submitted by check (payable to AOMA) or online.

Application Materials:
In addition to the following application form, candidates are required to submit all of the required application materials for their program
of study:

Admissions Requirements:
Be sure to review the admissions requirements prior to completing the appliction form:

 

 

 

 

Applying For
Are you applying for VA or Military Benefits?
Personal Information
  1. Identification
    1. Billing Address
    1. Shipping Address (if different)
  2. CONTACT INFORMATION
    1. LICENSE HISTORY
    2. Have you ever had a professional license revoked?*
    1. CRIMINAL RECORD
    2. Have you ever been convicted of a
      crime?*
Emergency Contacts (please list two)
    1. (1) FIRST CONTACT
    1. (2) SECOND CONTACT
Citizenship
Academic History
    1. (1)
    1. (2)
    1. (3)
Employment Information
    1. (1)
    1. (2)
    1. (3)
Letters of Recommendation
  1. Applicants must provide two letters of recommendation.
    Please list two (2) individuals who will submit letters of recommendation on your behalf. References should be employers, supervisors, professors, or others who are able to comment on your professional and educational goals and potential (not friends or relatives).
    1. (1) FIRST RECOMMENDER
    2. Will this person be submitting their letter of recommendation online?*
      Please ensure you have notified this person that they will be receiving an email from us with the necessary access information.



    3. Printed letters of reference must be signed by the author and sent directly to AOMA.

      Click Here to download PDF Recommendation form.
    1. (2) SECOND RECOMMENDER
    2. Will this person be submitting their letter of recommendation online?*
      Please ensure you have notified this person that they will be receiving an email from us with the necessary access information.



    3. Printed letters of reference must be signed by the author and sent directly to AOMA.

      Click Here to download PDF Recommendation form.
Additional Information
  1. Information in this section will be used for statistical purposes only and is strictly voluntary.
    1. Referral
    2. How did you find out about the program at AOMA?*
    1. Deciding Factors
    2. What were the most important factors in your decision to apply to AOMA?*






    1. Ethnic Background
    2. Please select your ethnic background. This is for statistical purposes only and has no bearing on your eligibility.
Terms and Conditions

I certify that the information supplied by me on the form is true and correct to the best of my knowledge. If any of the information on this form changes between now and my matriculation at AOMA, I will notify the admissions office as soon as possible. I understand that failure to do so may result in withdrawal of my application and/or the offer of admission.



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