Application for MAOM or Dual MAOM/DACM program - new Step 1 of 3 33% Your Personal InformationStudent Type (Check all that apply) Master of Acupuncture and Oriental Medicine (MAOM) Dual Enrollment Master of Acupuncture and Oriental Medicine and Doctor of Acupuncture and Chinese Medicine Degree (MAOM/DACM) Transfer Applicant International Applicant Your Name(Required) First Middle Last Preferred Name Date of Birth(Required) Your Email Address(Required) Enter Email Confirm Email Social Security Number(Required) Mailing Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Mailing address is the same as my physical address Physical Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Your Phone(Required)Alternate phone Education HistoryPlease list all colleges/universities attended beginning with the most recent.College/University(Required) Degree(Required) Location(Required) Date Started(Required) Date Finished(Required) If no degree was awarded, please indicate the approximate number of credits earned: Other Education HistoryCollege/University Degree Location Date Started Date Finished If no degree was awarded, please indicate the approximate number of credits earned: Please describe any additional relevant educational experiences not listed above:Present occupation(Required) Relevant community service experience or extracurricular activities(Required) How do you plan to pay for tuition? (Choose multiple if necessary)*(Required) Savings Federal Financial Aid Veterans Benefits Employment Vocational Rehabilitation Other If other, please describe here: Ethnic Information (U.S. Citizens only, for government statistical purposes)(Required) African American/Black Hispanic/Latino Asian Hawaiian/Pacific Islander White/Non-Hispanic Two or more races Unknown Have you ever had a license, certificate, or credential revoked or suspended?* (Yes/No)(Required) If yes, please explain the circumstance:*Have you ever been convicted of a felony?* (Yes/No)(Required) If yes, please explain the circumstances:Emergency ContactIn case of emergency, notify:First & Last Name(Required) Address Phone(Required) Relationship(Required) How did you hear about Daoist Traditions?*(Required) English Language CompetencyAll applicants must demonstrate English language competency.Which of the following have you completed? Check all that apply.(Required) four years at a U.S. high school demonstrably delivered in English; at least two years (60 semester/90 quarter credits) of undergraduate or graduate-level education in an institution accredited by an agency recognized by the U.S. Secretary of Education; at least two years (60 semester/90 quarter credits) of undergraduate or graduate-level education delivered in English; high school or two years (60 semester/90 quarter credits) of undergraduate- or graduate level education in an institution in one of the following countries or territories: American Samoa; Anguilla; Antigua & Barbuda; Australia; Bahamas; Barbados; Belize; Bermuda; Botswana; British Virgin Islands; Cameroon; Canada (except Quebec); Cayman Islands; Christmas Island; Cook Islands; Dominica; Federated States of Micronesia; Fiji; The Gambia; Ghana; Gibraltar; Grenada; Guam; Guyana; Ireland; Isle of Man; Jamaica; Kenya; Lesotho; Liberia; Malawi; Montserrat; Namibia; New Zealand; Nigeria; Norfolk Island; Papua New Guinea; Philippines; Pitcairn Islands; Sierra Leone; Singapore; South Africa; South Sudan; St. Helena; St. Kitts & Nevis; St. Lucia; St. Vincent & the Grenadines; Swaziland; Tanzania; Trinidad and Tobago; Turks and Caicos Islands; United Kingdom; U.S. Virgin Islands; Uganda; Zambia; Zimbabwe. Do you speak English fluently? (Yes/No)(Required) If no, please indicate if you have completed one of the following: Test of English as a Foreign Language (TOEFL) International English Language Test (IELTS) China Standard of English Language (CSE) Common European Framework Ref (CEFR) Pearson Test of English (PTE) Cambridge First Certificate in English (FCE) Duolingo English Test Cambridge English Advanced (CAE) Occupational English Test (OET) For All Applicants: Required AttachmentsApplicants must provide proof of immunizations within 30 days of enrollment.Admissions Essay: Please use the area below to submit your Admissions Essay. Essays should be between 750-1000 words in length. Prompt: Please tell us how you became interested in Chinese Medicine. What do you feel are the most important qualities in being a healthcare practitioner? How do you envision how you will practice Chinese Medicine upon completion of the program whether as an independent practitioner or in collaboration with other disciplines?(Required)Upload document in .pdf, .doc or .docx formatAccepted file types: pdf, doc, docx, Max. file size: 25 MB.Selfie/headshot(Required)Upload document in .jpg, .jpeg, .png, .pdf, .doc or .docx formatAccepted file types: jpg, jpeg, gif, png, pdf, doc, docx, Max. file size: 25 MB.Valid photo ID(Required)This can be a driver's license or other government-issued identification. Upload document in .jpg, .jpeg, .png, .pdf, .doc or .docx formatAccepted file types: jpg, jpeg, gif, png, pdf, doc, docx, Max. file size: 25 MB.Curriculum Vitae(Required)Upload document in .pdf, .doc or .docx formatAccepted file types: pdf, doc, docx, Max. file size: 25 MB.Non-Digital SubmissionsNon-digital Submissions for MAOM Applicants1. Official college transcripts: minimum of two years and 60 semester credits or 90 quarter units of general education at the baccalaureate level from an institution accredited by an agency recognized by the U.S. Secretary of Education, or an equivalent International entity. Sent directly to Daoist Traditions from the institution. Send to: Daoist Traditions College, Admissions Office, 382 Montford Avenue, Asheville NC 28801. 2. Letter of reference from a person with whom you have a professional relationship, e.g. employer/teacher. Letter should address your ability to be effective in a professional setting, commitment to personal endeavors, integrity, maturity level, and healing presence. Sent directly to Daoist Traditions from the reference. 3. Proof of immunizations – due within 30 days of enrollment. 4. English Language Competency Exam scores (if applicable)Non-digital Submissions for Dual MAOM/DACM Applicants1. Official college transcripts: minimum of three years and 90 semester credits or 135 quarter units of general education at the baccalaureate level from an institution accredited by an agency recognized by the U.S. Secretary of Education, or an equivalent International entity. Sent directly to: Daoist Traditions College, Admissions Office, 382 Montford Avenue, Asheville NC 28801. Education must include undergraduate or professional level courses in chemistry, biology, and psychology to ensure readiness for doctoral level coursework. This requirement may be met by one of the following means: • Completion of courses in previous undergraduate education. Transcripts must be sent directly to Daoist Traditions from the institution; • Completion of College level Examination Placement (CLEP) or American Council on Education (ACE) credit courses with the minimum credit-granting scores achieved. Scores must be sent directly to Daoist Traditions from the College Board; or • Completion of the following professional level certificate courses, via Coursera.org, a massive open online course (MOOC) provider: The Little Stuff: Energy, Cells and Genetics (University of Colorado Boulder) OR Introduction to Systems Biology (Icahn School of Medicine at Mount Sinai); Introduction to Chemistry: MAOM/DACM APPLICATION FOR ADMISSION 20230425 Reactions and Ratios (Duke University); and Introduction to Psychology (Yale University). Certificate of completion must be forwarded to Daoist Traditions. Other Non-digital Submissions for Dual MAOM/DACM Applicants1. Letter of reference from a person with whom you have a professional relationship, e.g. employer/teacher. Letter should address your ability to be effective in a professional setting, commitment to personal endeavors, integrity, maturity level, and healing presence. Sent directly to Daoist Traditions from the reference. 2. Proof of immunizations – due within 30 days of enrollment. 3. English Language Competency Exam scores (if applicable)Section for International Applicants Only* International applicants must submit all the above materials and those indicated for International students, Applications cannot be processed without all of the following information submitted.First, Middle and Last Name Mailing AddressAddress to mail SEVIS I-20 Form: (If different from permanent address listed above) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Do you need a student visa?* (Yes/No) If currently in the U.S., what type of visa do you hold? Do you wish to include any F-2 dependent(s) with this application?* (Yes/No) Verification of additional funds is required for each dependent. List the dependents you wish to include. Provide first and last name, date and country of birth, citizenship, and relationship.Do you speak and write English fluently?* (Yes/No) English language competency must be demonstrated by one of the following means: (select one) At least two years (60 semester credits or 90 quarter credits) baccalaureate or graduate-level, English-based educate in an institution a) accredited by an agency recognized by the U.S. Secretary of Education, or b) in the United Kingdom, Australia, Canada (except Quebec), New Zealand, or Ireland. In all cases, English must have been both the language of instruction and the language of the curriculum used. If an applicant has not completed a two-year English-based education as defined above, they may demonstrate English language competency by completion of TOEFL or IELTS. See the catalogue for score requirements. Have you completed an English Language Competency exam? Choose one of the following.*Scores must be submitted with your application. Test of English as a Foreign Language (TOEFL) International English Language Testing System (IELTS) If other, please specify the English Language Competency exam you have completed:Scores must be submitted with your application. For International Students: List an Additional Emergency Contact Person in the U.S.First & Last Name Phone Address Sources of Financial SupportWhich of the following applies to you:*Please submit documentation from your and/or your guarantor's bank(s) verifying funds of a minimum of $41,000 in the exchange of U.S. Dollars to confirm funding to cover academic and living expenses for the first year of enrollment at Daoist Traditions. An Affidavit of Support (USCIS I-134 Affidavit of Support form with supporting documents) is required from any U.S. sponsor. Myself as a Principal Sponsor Parent as a Principal Sponsor Sponsor other than Parent Other Sources Funds from Multiple Sources Section A - Myself as a Principal Sponsor:I certify that I will take full financial responsibility, including educational and living expenses, for myself while I am enrolled Daoist Traditions.* I certify and agree Describe the source of finances:* What is the total amount you can guarantee per year for up to 4 years?* Name of Bank Section B - Parent as Principal Sponsor:Sponsor's Name (First and Last Name) I, the parent, certify that I will take full financial responsibility, including educational and living expenses, for the applicant while he/she is enrolled Daoist Traditions.* I certify and agree What is the total amount you can guarantee per year for up to 4 years?* Name of Bank Sponsor's Address Your Email Address Enter Email Confirm Email Section C - Sponsor Other Than ParentSponsor's Name (First and Last) Relationship to Applicant I, the sponsor, certify that I will take full financial responsibility, including educational and living expenses, for the applicant while he/she is enrolled Daoist Traditions.* I certify and agree What is the total amount you can guarantee per year for up to 4 years?* Name of Bank Sponsor's Address Sponsor's Email Address Enter Email Confirm Email Sponsor's Phone Section D - Other SourcesName of Sponsoring Agency Address of Sponsoring Agency Name of Contact in Sponsoring Agency (First and Last Name) Sponsor's Email Address Enter Email Confirm Email Fax Number Please enter the total funding you can guarantee:* Please enter the range of dates this funding will cover. Start date: End date: Section E - Funds from Multiple SourcesBreakdown of FundsSubmit a certified statement (verification of balance or funds) from the applicant's and/or guarantor's bank(s) or Affidavit of Support from any U.S. sponsor dated no more than 3 months old at the time we receive it.*Upload document in .pdf, .doc or .docx formatAccepted file types: pdf, doc, docx, Max. file size: 25 MB.For International Applicants: Required AttachmentsDaoist Traditions is authorized under Federal law to enroll nonimmigrant alien F-1 students into the Master of Acupuncture and Oriental Medicine (MAOM) program. In addition to the application materials for the program of study, please submit the following items:Photo of your passportUpload document in .jpg, .jpeg, .png, .pdf, .doc or .docx formatAccepted file types: jpg, jpeg, png, pdf, doc, docx, Max. file size: 25 MB.Proof of medical insuranceUpload document in .pdf, .doc or .docx formatAccepted file types: pdf, doc, docx, Max. file size: 25 MB.English Language Competency Exam scores (if applicable)Upload document in .pdf, .doc or .docx formatAccepted file types: pdf, doc, docx, Max. file size: 25 MB.Foreign Language transcript translation and evaluation by WES or other agency recognized by NACES (if applicable)Upload document in .pdf, .doc or .docx formatAccepted file types: pdf, doc, docx, Max. file size: 25 MB.Required immunizations with TB testUpload document in .pdf, .doc or .docx formatAccepted file types: pdf, doc, docx, Max. file size: 25 MB.Are you currently studying in the United States? (Yes/No) If yes, then International applicants studying in the U.S. must also submit the following:If accepted to Daoist Traditions College, the applicants will also need to complete the International Student Transfer Release form.Photocopy of all previous I-20 forms (and dependents if applicable)Upload document in .pdf, .doc or .docx formatAccepted file types: pdf, doc, docx, Max. file size: 25 MB.Photocopy of I-94 (front and back).Upload document in .pdf, .doc or .docx formatAccepted file types: pdf, doc, docx, Max. file size: 25 MB.Transfer Applicant Optional AttachmentsSyllabiIf transferring from a CM/acupuncture college: In addition to the application materials for the program of study, Applicants who would like to transfer previous Chinese medicine education must submit the syllabi outlining the course content for each course you wish to transfer. Upload document in .jpg, .jpeg, .png, .pdf, .doc or .docx formatAccepted file types: jpg, jpeg, gif, png, pdf, doc, docx, Max. file size: 25 MB.Reference letterYour letter of reference should be from a previous CM/acupuncture instructor. Upload document in .jpg, .jpeg, .png, .pdf, .doc or .docx formatAccepted file types: jpg, jpeg, gif, png, pdf, doc, docx, Max. file size: 25 MB.English Competency Exam ScoresPlease submit your English Language Competency scores in .jpg, .doc, .docx, or .pdf format.Accepted file types: jpg, jpeg, gif, png, pdf, doc, docx, Max. file size: 25 MB. For All ApplicantsI hereby certify that all information provided is accurate and complete. I understand my misrepresentation may be grounds for dismissal.*(Required) I certify and agree Applicant Signature(Required) Application Fee Price: Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20232024202520262027202820292030203120322033203420352036203720382039204020412042 Security Code Cardholder Name