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"Being the owner of three successful clinics in the field of acupuncture, I owe my gratitude to FCIM. The learning in FCIM established my solid foundation in my clinic" more

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General Information
Date: 2/5/2012

* Applying for Year:





Admission Requirements

The minimum admission requirements for acceptance are a high school diploma, at least 18 years of age, and 60 semester hours of credit from an accredited college or university. The college credit must include at least 30 credits of general education of liberal arts courses represented by coursework in the four areas of humanities, social sciences, English/communications, and science. Your application file will become complete when all of the Required Admissions Documents have been submitted. When complete, your file will be submitted for final review by the Admissions Committee. Upon their approval, you will be notified by mail with a letter of acceptance at which time you will be eligible to enroll, subject to the terms of the College's Enrollment Agreement. (International students will be issued an I-20 for immigrations processing with the letter of acceptance.)

A one-time, non-refundable application fee ($100 Domestic Student, $150 Transfer Student, $200 International Student) must be paid to the college before processing of your information can begin. Once we have received your application and application fee a student file will be created.

Required Admissions Documents

All Students must send to the College the following to complete their student file and be considered for admission:

  • A resumé presenting your educational and professional credentials
  • An autobiographical essay 1-2 pages in length (double spaced) stating your reason for wanting to study Oriental Medicine
  • Official Transcripts from educational institutions accredited by an agency recognized by the U.S. Secretary of Education reflecting a total of at least 60 semester credits with 30 credits in the area of general education
  • 2 Letters of Recommendation from any non-family member attesting to ability to pursue an academic program
  • A Physician?s Statement of General Health from a licensed Medical Doctor, Chiropractic Doctor, Acupuncture Physician, or Naturopathic Physician attesting to your overall mental and physical health
  • Admissions Interview to be scheduled by the Prospective Student with the Director of Admissions
  • Hepatitis B form, TB test results and proof of citizenship
  • 2 current passport size photos
  • Expense Acknowledgement form

International students (only) must also submit the following:

  • Foreign Transcript Evaluation performed by an agency approved for evaluating foreign credentials
  • Proof of English language proficiency (diploma/degree verification or TOEFL/TSE results)
  • A notarized affidavit of support from a parent or other sponsor that demonstrates ability and willingness to pay tuition and living/travel expenses totaling $35,000 per year.
  • Proof of current health insurance coverage (required soon after enrollment)

Contact Information
* First Name:
Middle Name:
* Last Name:
Other Name Used (Maiden):
* Date of Birth (mm/dd/yyyy):
* Gender:
* Social Security Number:
* Permanent Address:
* City, State, Zip:    
Mailing Address (if different from Permanent Address:
City, State, Zip:    
Home Phone:
Business Phone:
Mobile Phone:
Fax:
Email Address:
Emergency Contact Name:
Relationship:
Mobile Phone:
Day Phone:
Evening Phone:
Email Address:

Citizenship Information
Place of Birth (City/State, Country):
Country of Citizenship:
Visa Type (Permanent Resident and Non-U.S. Citizens):
Visa Number:

Academic Information
Previous University #1
College or University
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Major
Degree Earned
Year Earned
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Previous University #2
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Previous University #3
College or University
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Degree Earned
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Credits Earned, GPA ,
Previous University #4
College or University
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Personal Information
Do you have any special needs that we should be aware of? if so, please describe:
Have you ever been convicted of a felony or misdemeanor other than a traffic vialation? if so, please describe:
Have you ever had a professional credential or license revoked or suspended? if so, please describe:
Do you plan to apply for Financial Aid?
How did you find out about Florida College of Integrative Medicine?
Which individual was instrumental in helping make your decision to attend FCIM?
 

Please affirm the following statement by entering your name and today's date below as a digital signature: 
I certify that all information provided in this application and in supporting documents provided in connection herewith is correct and complete and satisfies the requirements of this application. I understand that I may be required to furnish documented proof of information given. In addition, I agree that though I may be academically qualified, acceptance to the Florida College of Integrative Medicine is based upon the discretion of the Admissions Committee, and that admission does not create any promise or guarantee of future licensure or employment.

* Signed:   * Date:

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