Clinical Application Form

Green Path Herb School Clinical Application Form
Welcome to our application process! We are looking for motivated, committed
individuals who are passionate to learn about herbal medicine. All prospective
students must submit an application form via e-mail or real mail. After reviewing
your application, we will contact you for an interview to determine acceptance.
All students need to have graduated from a minimum 300-hour herbal education
program or show similar training. Students are expected to know anatomy and
physiology, medicine making skills, and have the knowledge of a good working
materia medica. The Green Path Herb School first year program will go beyond
meeting all of these criteria.
We are now accepting applications for the next school year. There is no deadline
for application, however applications are considered upon their submission and
we expect the program to fill. Note that a deposit is required along with the
application to secure an interview, so please call or e-mail with any questions or
concerns before applying.
There is a $100 application deposit fee necessary for acceptance into the program.
It is non-refundable and will be applied towards tuition upon acceptance to the
program. The deposit is refunded in full if the student is not accepted into the
program. We accept cash, check, or credit card. The remaining tuition of $800 is
due by September 1st. Payment plans are available and an additional $200
administrative fee is charged up front.
Tuition is $900
Please include in your budget a minimum of $500 for tools, books, medicine
making supplies, and travel expenses.
P.O. Box 7813 • Missoula MT 59807 • 406-274-2009 • GreenPathHerbSchool.com
Refund Policy
1. The $100 deposit is non-refundable upon acceptance into the program.
2. A full refund of tuition (less the $100.00 deposit) will be paid to the student if
she/he withdraws (in writing) before the first day of class.
3. If a student cancels after the classes have begun, a calculation of all allowable
charges shall be made using the date that we received written notification of
termination.
4. If a student withdraws from any program, a refund calculation will applied
based on the following:
less than 10% of course completed = 75% refund
more than 10 % and less than 25% of course completed = 50% refund
more than 25% and less than 50% of course completed = 25% refund
over 50% of course completed = 0% refund

Please fill out the entire form before submission and date and sign your
application.

To secure your place, please include a $100 deposit with your application.
The deposit is nonrefundable upon your acceptance into the program, and
will either be applied to your tuition or refunded to you if you are not
accepted.

If you have not previously attended Green Path Herb School, please
include two letters of recommendation with your application. Please
continue to the next page to fill out the application.
P.O. Box 7813 • Missoula MT 59807 • 406-274-2009 • GreenPathHerbSchool.com
Name:
Address:
City, State, Zip code:
Email:
Home Phone:
Work Phone:
Date of Birth:
Emergency Contact Name:
Emergency Contact Phone Number:
Relationship to the Student:
Please list all prior education including high school, college, and schools relating
to herbs or natural medicine:
Please list your work experience:
Do you plan to work while attending school?
P.O. Box 7813 • Missoula MT 59807 • 406-274-2009 • GreenPathHerbSchool.com
Do you have any particular goal in mind for your clinical herbal
education?
How did you hear about Green Path Herb School?
Date:
Signature:
P.O. Box 7813 • Missoula MT 59807 • 406-274-2009 • GreenPathHerbSchool.com