Admission Application to Master of Acupuncture and Traditional Chinese Medicine Program

EDUCATION
Please list (in chronological order) every accredited college, university, or acupuncture school you have attended. An official, sealed transcript is required from each school listed below.
NAME OF SCHOOL:
STREET ADDRESS:
CITY:
STATE:
ZIP CODE:
FIRST ATTENDED:

MonthDayYear
Date
LAST ATTENDED:

MonthDayYear
Date
MAJOR FIELD OF STUDY
DEGREE
GRADUATED:
G.P.A.:
NAME OF SCHOOL:
STREET ADDRESS:
CITY:
STATE:
ZIP CODE:
FIRST ATTENDED:

MonthDayYear
Date
LAST ATTENDED:

MonthDayYear
Date
MAJOR FIELD OF STUDY
DEGREE
GRADUATED:
G.P.A.:
NAME OF SCHOOL:
STREET ADDRESS:
CITY:
STATE:
ZIP CODE:
FIRST ATTENDED:

MonthDayYear
Date
LAST ATTENDED:

MonthDayYear
Date
MAJOR FIELD OF STUDY
DEGREE
GRADUATED:
G.P.A.:
IF YOU HAVE TAKEN ANY OF THE FOLLOWING TESTS, PLEASE LIST SCORES
TOEFL
GRE General
LSAT
MCAT
GMAT

PROFESSIONAL REFERENCES
NAME
ORGANIZATION
EMAIL
PHONE NUMBER
NAME
ORGANIZATION
EMAIL
PHONE NUMBER
ATTACHMENTS
Your Photo (head to shoulders)

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Current Resume

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Statement of Purpose Essay

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AGREEMENT
The information on this application is complete and correct to the best of my knowledge. I understand it is my responsibility to complete all application procedure and to have transcript forwarded from the schools I have attended. These documents become the property of Yo San University and will not be returned to me or duplicated for any purpose. I also understand that if I am accepted to Yo San University, acceptance is subject to verification of official records from the institutions I have attended. I understand that to practice acupuncture in California, I must pass the California Acupuncture Licensing Examination administered by the Acupuncture Board and possess a valid Acupuncture Licences.
Agree
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