The Chestnut School of Herbal Medicine - Application Forms :: Botany, Sustainable Wildcrafting, Plant Ecology, Plant Identification, Wild Foods, Organic Gardening and Permaculture in Asheville, North Carolina

Chestnut School of Herbal Medicine
56 Sluder Branch Road
Leicester, NC 28748

All prospective students must submit an application form via e-mail or real mail, after which an interview will be conducted to determine acceptance. Please ask any questions and research our programs fully before you send in your application. In other words, ONLY fill out this application if you are sure you are ready!

If you would like to print and mail an application, please use our printer-friendly form. (PDF)

Electronic Application Form

Full Name:

Preferred Name:

Date of Birth:

Address:

Street:
City / State / Zip:	/ /

Email:

Phone

Home:
Cell:

Emergency Contact

Name:
Phone:
Relationship:

1. Please describe your interest in plants and herbal medicine.

2. What is your background in herbal medicine? Please list any classes, workshops, gatherings or conferences you have attended. Please note that our programs do not require previous experience.

3. Please tell me more about yourself. What do you like to do for fun? Work?

4. Our programs involve walking/hiking over uneven terrain for some distances. Do you have any concerns about your physical abilities in this area?

5. Please describe any existing mental or physical conditions that would affect your school experience?

6. How did you hear about the Chestnut School of Herbal Medicine?

Which program are you interested in?