UEWM Application for Admission Form

Fields marked (*) are required

Personal Data
  1. ,   (Please provide your legal name. It will show up in your transcript and diploma)
  2. M   F
  3. No spaces or brackets e.g. 9999999999 Your mobile number is valid

  4. Please enter a valid email address e.g. swapnil@example.com Your email address is now valid

  5. (If you don't have SSN, please enter: NA)
  6. Your postcode is out of range between 10001 - 999999 Your postcode is in the correct range

  7. U.S. Citizen Permanent Resident Other
      (Please provide a front-and-back copy of your current green card or visa)

  8. American Indian or Alaska Native
    Black or African American
    Native Hawaiian or Pacific Islander
    Two or More Races
    Race and ethnicity unknown
Program Application
  1. Spring Summer Fall
  2. Applying for program *
    Master of Acupuncture with a Chinese Herbal Medicine Specialization (MAcCHM)
    Non-Degree Program

  3. New Student
    TCM Transfer Student
    Re-admission Student

  4. Full-Time (12+ units)
    Part-Time (1-11 units)
  5. Course Instruction Language Preference * English Chinese
  6. Do you expect to transfer any previous TCM credits into this program *       Yes No
Education Background
  1. Please list the name of all post-secondary institutions you have attended. Any documents from foreign countries must be evaluated by an evaluation agency:

    1. Name of University and Colleges Attended *:      

  2. 2. Name of University and Colleges Attended:      

  3. 3. Name of University and Colleges Attended:      
Work Experience

In Case of Emergency, Notify
Please read and check the agreement
  1. I hereby certify the accuracy and completeness of the information provided and the truth of the following certifications. This application must be certified before processing.
  2. I certify that I have provided complete and accurate statements on this application. I understand that failure to list all college attended or falsifying official documents may result in denial of admission or disciplinary action. I understand all official documents submitted in support of this application become the property of the University. I authorize the release of any information submitted by me in connection with this application to any person, firm, corporation, association, or government agency, but only to verify or explain the information. I understand that acceptance as a student requires submission of official college transcript(s). If not received by UEWM prior to my initial registration, acceptance is pending receipt of the documents. Grades and transcripts of credits will be withheld and registration for subsequent terms may be denied until all required admission documents are submitted.