DAOM Admission Application

Application Checklist
All Applicants

To be considered for admission to Five Branches University, your application package must include the following items. For more details, refer to the Admissions section of the catalog or website, www.fivebranches.edu

These are the initially required documents. Please have the following documents ready when you begin filling out this application form:

1. Application for Admission (completed in full)
2. Digital Photograph- passport style
3. Statement of Purpose
4. Resume
5. Application Fee: $100 (Payable via PayPal using Visa, Mastercard, Discover, or American Express only)

The following required items will go through a document upload process and can be completed now or later:

7. Copy of Master’s or professional doctorate level diploma in TCM, Oriental Medicine, or Acupuncture
8. Copies of California L.Ac. Pocket License, State License, or National Certifications (required only if applicable)
9. Copy of Valid Malpractice Insurance With Five Branches University Listed as Additional Insured (required only if applicable)

Supporting Documents - sent separately and directly to the admissions office of your chosen program. Click Here to start your Supporting Documents Form.

10. Two Letters of Recommendation sent via email to daomadmissions@fivebranches.edu
11. Official transcripts for all AOM and healthcare-related college/university coursework, enclosed in university-sealed envelopes and mailed directly to Five Branches University (Required, but exceptions can be made, such as when applicants are completing their program and the transcript is not yet available at the time of application.)
Transfer Applicants(Transferring from a TCM/acupuncture school)

Applicants who wish to transfer from another TCM college must submit the following materials (in addition to the materials indicated for All Applicants):

1. Cover letter stating your reasons for seeking transfer and the courses you wish to transfer
2. An additional letter of recommendation from a previous TCM/Acupuncture instructor, located at the DAOM school you are attending.
3. Catalog from your previous DAOM program, stating its approval agencies and accreditation.
4. Syllabus outlining the content for each course you wish to transfer.
International Applicants

International applicants applying for an F-I student visa through Five Branches University must submit the following documents (in addition to the materials indicated for All Applicants):

1. A photocopy of the first page of your passport (also of dependents, if applicable)
2. Transcript evaluation by a member of NACES
3. English proficiency test report with score
4. International Applicant Financial Statement
5. Proof of Health Insurance (We recommend purchasing health insurance in your home country due to high U.S. costs, with a minimum coverage of $250,000 per incident and a deductible under $500 per person. Obtain medical and dental records before arriving.)
International Applicants (Currently studying in the U.S)

International applicants who are currently on an F-1 student visa and enrolled at another college must submit the following
documents (in addition to the materials indicated for All Applicants and International Applicants):

1. A photocopy of your visa, contained in your passport (also of dependents, if applicable)
2. A photocopy of your latest I-20 form

U.S. Citizens Only

For U.S. Government statistical reports purposes only
Government Issued IDs
Copy of government issued ID

Driver's license, passport (if any). Include personal information such as Name, Gender, Nationality etc. (pdf, jpg, jpeg, png file available).
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Financial Data

Federal financial aid and Graduate PLUS loans are available for qualifying students. To apply, go to www.fafsa.gov and enter the Five Branches school code: 031313.
Do you qualify for any of the following?

VA BenefitsTrustScholarshipsGrants
Do you plan to apply for financial aid?*

YesNo
How do you plan on paying tuition?*
Letters of Recommendation

Letters of Recommendation can be sent via mail or email to the admissions at the respective campus. Our email and Mailing address can be found: https://www.fivebranches.edu/dtcm-mtcm/admissions-masters/contact-us-dtcm/
Campus Selection:

San Jose CampusSanta Cruz Campus

Non-US Citizen Applicants
International Applicants, Permanent Residents, and Others

Including Green Card holders
Copy of Passport's first page*

Personal information page. Include Name, Gender, Nationality etc. (pdf, jpg, jpeg, png file available)
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Copy of Visa page on passport*

Current visa status. Permanent resident card instead of visa page if you have a green card. (pdf, jpg, jpeg, png file available)
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Country of Citizenship*
Country of Birth*
If U.S. Permanent Resident, provide Alien number
Do you need a student visa?*

YesNo
If currently in the US, what type of visa do you hold?*
Do you speak English fluently?

YesNo
List other languages spoken
English proficiency test name*
Test Score*
Test Date*

MonthDayYear
Date
Proof of Health Insurance*

Proof of health insurance (pdf, jpg, jpeg, png file available)
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TOEFL

YesNo
TOEFL Score
TOEFL Date

MonthDayYear
Date
TOEFL Score report

(pdf, jpg, jpeg, png file available)
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IELTS

YesNo
IELTS Score
IELTS Date

MonthDayYear
Date
IELTS Score report

(pdf, jpg, jpeg, png file available)
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How did you first hear about Five Branches University's DAOM program?
Signature

I hereby certify that all of the information provided in my application package is accurate and true, and that I am the author of the attached Statement of Purpose.
Signature*

Clear
Checking this box and entering my full name and date below constitutes my signature for all legal purposes.
First and Last name*
Legal name
Today's Date*

MonthDayYear
Application Fee Payment*
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Application FeeAccepting credit cards & debit cards.
$100.00

Total

$0.00

Pay with Credit Card

Should be Empty:

Application Checklist

Admission Information

Personal Data

In Case of Emergency, Notify:

Legal Information

Education

U.S. Citizens Only

Government Issued IDs

Financial Data

Letters of Recommendation

International Applicants, Permanent Residents, and Others

Signature