Online Registration

Master of Acupuncture and Oriental Medicine


  2008 Spring
Semester 		  2008 Summer
Semester 		  2008 Fall
Semester 		  2009 Spring
Semester 		  2009 Summer
Semester 		  2009 Fall
Semester
Applicant Data:
First Name:
 * Middle Name:   Last Name: *
SSN: *
Street Address: *
City: * State / Province: * Zip / Postal Code: *
Home Phone: * Work Phone:     
Email: * Confirm Email: *
Date of Birth: * / / (MM/DD/YYYY) Gender: *
Are you a US Citizen? Yes No If "NO" List VISA or residency status:
Country of Birth: * If foreign student applicant, are you applying for student VISA?:
If your native language is not English, note "TOEFL" score: date taken:
Driver's License Number: State: Expires:
Name, address & telephone number of a person through whom you can always be reached:
Name: Address:
City: State: Zip:
Home Phone: Work Phone:
INTERNATIONAL STUDENTS (This information is required from foreign students) Statement of Financial Support: The annual estimated cost of attending TCTCM for tuition and living expenses is approximately $ 22,000.00 U.S. laws require you to establish your means of support while attending school. Please list your sources of support and include "documentary evidence" and sponsor's letters of support with this application.
1. Accurate estimate of available personal funds: Monthly amount $
2. Accurate estimate of funds from parents/family Monthly amount $
3. Other sources of support (specify): Monthly amount $
Estimate of Total Monthly support $ Total Annual Support $
EDUCATION (List all colleges & post-secondary schools attended, without exception):
Schoole or College City and State Dates attendated Degree(s) & Major
List 1:
List 2:
List 3:
List 4:
List any special honors/recognition received:
WORK & PROFESSIONAL EXPERIENCE (beginning with most recent)
Date Job Title Name of Organization & Location Nature of Work
List 1:
List 2:
List 3:
List 4:
Have you ever had a professional license revoked or suspended? Yes No
If yes, please explain the circumstances:
How did you learn about TCTCM?
FINANCIAL DATA
1. How will you pay tuition? Savings Employment Loan Other
2. Do you plan to apply for Stafford Loans or other benefits? Yes No
If yes, please call our Financial Aid Officer for assistance, as soon as possible.
3. Have you ever defaulted on a student loan or declared bankruptcy? Yes No
If yes, please explain fully:
(TCTCM reserves the right to conduct a credit check, if there is "just cause" to do so)
REFERENCES (Identify three persons who knowledgeable of your skills and ability):
Name Position Address Telephone Number
List 1:
List 2:
List 3:
APPLICATION CHECKLIST (Application must be complete & the following submitted):
1. Non-refundable application fee of $75.00 for resident students and foreign students who reside in the U.S., payable to the Texas College of Traditional Chinese Medicine. Application fee for foreign students who reside outside the U.S. is $300.00 and an evaluation fee of $200.00 for overseas documents (transcripts, credentials, ets.)
2. Complete and official transcripts mailed in a sealed envelope directly from the institution where the work was completed. Foreign students must provide an English translation of official documents.
3. Two (2) face photographs of passport quality and size.
4. A letter of interest explaining your reasons for wanting to attend the master¡¦s degree program at Texas College of TCM.
5. Photocopy of Driver's License.

Also, you can print out the Admission Application Form and mail or fax it to us.






TEXAS COLLEGE OF TRADITIONAL CHINESE MEDICINE
4005 Manchaca Road, Austin, Texas 78704
Phone: (800) 252-5088, (512) 444-8082   Fax: (512) 444-6345

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