Alumni Doctoral Application

Alumni Doctoral Application Form

If you are a CCMU alumnus and interested in starting the PD completer or DAOM program, please use this form to begin the application process.

Comments

This field is for validation purposes and should be left unchanged.

Preferred Name(Required)

First Last

Name or Names Used During Attendance at CCMU

Please give all names used while attending CCMU; this will make it easier to validate your records.

Date of Birth(Required)

Email(Required)

Phone

Country Phone Number

Degree Received

Graduation Date

Give month and year if you don't have exact day available.

Which program are you interested in?(Required)

DAc/DAcCHM

DAOM

Unsure

Do you have at least 90 undergraduate credits from an accredited college?(Required)

Please send official copies of all undergraduate transcripts to admissions@ccmu.edu at your earliest opportunity if possible.

Yes

Not sure

Do you have a license to practice acupuncture?(Required)

We will ask for a copy of this and proof of insurance later in the process.

Yes

Not sure

Please add any other information below.

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