DACM Professional Track Application Form - new Step 1 of 3 33% Your Personal InformationYour Name(Required) First Last Preferred Name Your Email Address(Required) Enter Email Confirm Email 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 Your Phone(Required)Date of Birth(Required) Social Security Number(Required) In Case of Emergency, Notify:First Name, Last Name(Required) Relationship(Required) Email Phone(Required) Ethnic Information (US Citizens only, for government statistical information only)(Required)African American/Black, Asian, American Indian/Alaska Native, Hawaiian or Pacific Islander, White, Two or more races, Ethnicity Unknown How do you plan to pay for tuition?(Required) Savings Employment Federal Financial Aid Vocational Rehabilitation Veterans Benefits Family Member Other Education HistoryName of Institution for Undergraduate Degree(Required) Location(Required) Degree(Required) Date Started(Required) Date Finished(Required) Did you graduate? (Yes/No)(Required) If no degree was awarded, please indicate the approximate number of credits earned Acupuncture and Chinese Medicine EducationCollege/University(Required) Location Degree(Required) Graduation Date(Required) Describe any additional degrees or education hereAre you currently practicing Chinese medicine? (yes/no)(Required) If so, please provide location. How did you hear about the DACM Professional Track program?(Required) Have you ever had a license, certificate, or credential revoked or suspended?* (Yes/No)(Required) If so, please explain the details hereHave you ever been convicted of a felony? (Yes/No)(Required) If so, please explain the details hereEnglish Language Competency (All applicants must demonstrate English language competency)Which of the following have you completed? Check all that apply. 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 demonstrably 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) Cambridge First Certificate in English (FCE) Cambridge English Advanced (CAE) Common European Framework Ref (CEFR) Duolingo English Test Occupational English Test (OET) Pearson Test of English (PTE) Required AttachmentsSubmit a 700-1000 word essay answering the following questions: Daoist Traditions is committed to providing the community with Chinese medical care and to graduating practitioners to be the next generation of leaders in the profession. Please tell us about your current practice of Chinese medicine. How do you see a doctoral education in Chinese Medicine impacting your individual practice, your collaboration with other Chinese medicine and Biomedicine practitioners, and your role in advancing the overall profession? Essays evaluated based on content and standard writing conventions.Upload your essay in .pdf, .doc or .docx formatAccepted file types: pdf, doc, docx, jpg, jpeg, Max. file size: 25 MB.Current curriculum vitae (CV)Upload your essay in .pdf, .doc or .docx formatAccepted file types: pdf, doc, docx, jpg, jpeg, Max. file size: 25 MB.Selfie/HeadshotUpload your resume in jpeg, jpg, gif, png, pdf formatAccepted file types: jpeg, gif, png, pdf, jpg, Max. file size: 25 MB.Copy of valid photo identification (driver's license preferred or other government issued ID)*Upload your resume in jpeg, jpg, gif, png, pdf formatAccepted file types: jpeg, gif, png, pdf, jpg, Max. file size: 25 MB.Photocopy of current acupuncture license (if applicable)Upload your resume in jpeg, jpg, gif, png, pdf, doc, docx formatAccepted file types: jpeg, jpg, gif, png, pdf, doc, docx, Max. file size: 25 MB.Photocopy of your current NCCAOM certification (if applicable)Upload your resume in jpeg, jpg, gif, png, pdf, doc, docx formatAccepted file types: jpeg, jpg, gif, png, pdf, doc, docx, Max. file size: 25 MB.English Language Competency Exam scoresUpload your resume in .pdf, .jpg, .jpg, .doc or .docx formatAccepted file types: pdf, doc, docx, jpg, jpeg, Max. file size: 25 MB.Non-digital SubmissionsItems must be submitted to Daoist Traditions College, Admissions, 382 Montford Ave., Asheville, NC 28801Official College TranscriptsOfficial college transcripts showing a minimum of three years and 90 semester credits (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 from the institution.Graduates From Other Master's Level ProgramsOfficial transcripts(s) showing satisfactory completion of a masters level program in Oriental medicine, [or masters level acupuncture program and Chinese Herbal Medicine Certificate program], from an ACAHM accredited /pre-accredited program or institution. Sent directly to Daoist Traditions from the institution. Refer to our website for information on transcripts from foreign institutions.Letter of referenceLetter of reference from a person with whom you have a professional relationship, i.e. employer/teacher addressing 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.I waive my right to access/view this letter of reference. I waive my right Other EducationEducation 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: Reactions and Ratios (Duke University); and Introduction to Psychology (Yale University). Certificate of completion must be forwarded to Daoist Traditions.Additional InformationPlease note: The admissions process includes a comprehensive analysis of master's level transcripts to ensure that applicable coursework is equivalent to the published Daoist Traditions MAOM content knowledge and professional competencies. Daoist Traditions MAOM Alumni: Those who graduated more than 5 years prior to entering the DACM program must complete a written assessment to demonstrate retention of the content knowledge and professional competencies of the MAOM program. Applicants from other masters level programs must: 1) complete a written assessment to demonstrate attainment and retention of the Daoist Traditions masters level content knowledge and professional competencies; 2) review a series of videos and complete online assessments on the acupuncture channel systems of Sinew Meridians, Eight Extraordinary Vessels, Luo Vessels, and Divergent Meridians; and 3) review a video and complete an online assessment on research basics, if a college-level research class was not previously completed. These are not courses, rather you will complete an online assessment.ConfirmationBy checking this box you certify that all information provided is accurate and complete. Any misrepresentation may be grounds for dismissal.* I certify and agree Applications 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