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First Name

Last Name

Email Address

Phone Number

City

State

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Preferred Contact Method

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Program Interest

Introductory Ayurveda Program Ayurvedic Health Counselor Training Program Not sure yet

Highest Level of Education Completed

Degrees Earned

Institutions Attended

Relevant Certifications or Trainings

Are you currently a healthcare professional?

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Profession / license type

Specialty / Field

Current Practice Setting

Are you interested in integrating Ayurveda into clinical practice?

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Prior Ayurveda training

Yoga training

Integrative medicine training

Nutrition / wellness training

Other relevant background

Have you completed college-level Anatomy & Physiology?

Yes No, but I plan to complete it Unsure

Upload proof of Anatomy & Physiology completion
Accepted documents may include a transcript, certificate, course record, or other documentation showing completion of a college-level Anatomy & Physiology course.

Why are you interested in studying Ayurveda?

What are your educational or professional goals?

Are you interested in future NAMA certification eligibility?

Is there anything else you would like admissions to know?

Required Acknowledgments

I understand that Aloha Ayurveda programs are accessed through a membership-based enrollment model. I understand that program tuition is included within membership enrollment. I understand that Aloha Ayurveda does not grant medical licensure. I understand that certification eligibility is determined independently by NAMA. I understand that the in-person clinical intensive is required for students pursuing the full AHC certification pathway.

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