Application for Admission: Diploma of Acupuncture
Complete this form to apply to Autumn Institute of Health's Diploma of Acupuncture Program.If you have any questions, please email us at info@autumnhealth.org.
Status
Full-time or part-time status can be changed during the program. Please select your intention for your first term.
Name
Address
Date of Birth
Emergency Contact

Qualifications

Please provide the following information for all high schools, colleges and universities that you have attended in the order of attendance from most to least recent: Institution Names, Dates of Attendance, Major, Degree/Qualifications Earned*
English Language Skill
Please select the one that best describes you.

Two Letters of Reference

Please upload letters of reference from two people who know you in a professional or academic context and are able to speak to your character and ability to complete a diploma program.
Drag & Drop Files, Choose Files to Upload You can upload up to 2 files.
Upload both letters here.

Supporting Documents

Drag & Drop Files, Choose Files to Upload You can upload up to 10 files.
Please include all transcripts for any post-secondary education you have completed. If you are a transfer student, please include transcripts or grade reports of the courses you have completed so far.
Drag & Drop Files, Choose Files to Upload
Drag & Drop Files, Choose Files to Upload
Drag & Drop Files, Choose Files to Upload

Attestations

I attest that all information provided on this application is accurate.
I am aware that deliberate falsification of any admissions information may be grounds for rejection or dismissal from Autumn Institute of Health.

Application Fee

Please send the $75 application fee by e-transfer to info@autumnhealth.org. Alternatively, you may contact us to arrange for cash or cheque payment.