Rockwell Admissions Applications

1
Name* This field is required.
First Name
Last Name
Preferred Nickname (if none, type N/A)
2
Valid Email Address* This field is required.You may continue your application after verifying your email address. Please make sure to add info@schoolofholisticmedicine.com to your contacts to be sure you get your admissions application response letter!
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3
Age* This field is required.
4
Birth Date* This field is required.
Month
Day
Year
5
Country of Origin/Nationality* This field is required.
Select Country
United States
Afghanistan
Albania
Algeria
American Samoa
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaidjan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia-Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia, Kingdom of
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, The Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
Former Czechoslovakia
Former USSR
France
France (European Territory)
French Guyana
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Great Britain
Greece
Greenland
Grenada
Guadeloupe (French)
Guam (USA)
Guatemala
Guinea
Guinea Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See (Vatican City State)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Ivory Coast (Cote D'Ivoire)
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyz Republic (Kyrgyzstan)
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique (French)
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldavia
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
Neutral Zone
New Caledonia (French)
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Island
Poland
Polynesia (French)
Portugal
Puerto Rico
Qatar
Reunion (French)
Romania
Russian Federation
Rwanda
S. Georgia & S. Sandwich Isls.
Saint Helena
Saint Kitts & Nevis Anguilla
Saint Lucia
Saint Pierre and Miquelon
Saint Tome (Sao Tome) and Principe
Saint Vincent & Grenadines
Samoa
San Marino
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
Slovak Republic
Slovenia
Solomon Islands
Somalia
South Africa
South Korea
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Swaziland
Sweden
Switzerland
Syria
Tadjikistan
Taiwan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
USA Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States of America
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands (British)
Virgin Islands (USA)
Wallis and Futuna Islands
Western Sahara
Yemen
Yugoslavia
Zaire
Zambia
Zimbabwe
6
Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
7
Preferred Contact Number* This field is required.
Area Code
Phone Number
8
Is it ok to text this number for certain situations if we can not reach you via email and/or for events and promotions?
YESNO
9
Of the following methods do you preferred to be contacted by? Please choose all that apply:* This field is required.We are available via all of the options below. Yes, you can text us!
Text
Phone
Email
10
How did you hear about Rockwell?* This field is required.
Google
Facebook
Instagram
Friend
Twitter
Pinterest
YouTube
FB Ad
IG Ad
11
What is your personal story and what do you dream of doing once your complete your programs?* This field is required.
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12
What made you choose Rockwell and what do you look most forward to learning? * This field is required.
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13
What other natural health schools have you considered or attended in the past, and were you satisfied with the cost of the program and the education you received?* This field is required.If none, you may write N/A.
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14
What is your desired program of study? * This field is required.
15
Do you currently subscribe to any specific dietary protocol or lifestyle? Please tell us more below.vegan, vegetarian, traditional diets, WAPS, paleo, GAPS, FODMAPS, zero carb, keto, vegetarian keto, lipid diet, 80/20, low-carb, AIP, SCD, pescetarian, Gerson, raw food, whole food, none, etc.
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If you are vegetarian or vegan, please confirm your understanding that we teach our students about all traditional and therapeutic diets, including autoimmune-paleo (AIP) and Weston A. Price (WAP). * This field is required.We do teach about veganism and vegetarianism. We believe in making immediate strides in humane husbandry in both mainstream and indigenous cultures. However, we do not push any one dietary agenda because we do not believe 'one size' fits all, nor do all world populations have access to totally vegan food at any given time.
Yes, I understand. This makes sense to me. No, this is not acceptable to me —exit application.
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Please Note:
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Please confirm your understanding and agreement with the above statement.* This field is required.
Yes, I understand and agree.No
19
Other than traffic offenses, have you ever been convicted of any misdemeanor, felony, or other crime or arrested, regardless of age? If you answered yes to either question, please provide an explanation and the approximate dates of each incident.* This field is required.This must be truthful and accurate or you risk losing your Rockwell Scholarship and/or ID after graduation. We respect honesty but must have this information in order to protect the school and make sure people are practicing ethically with our standards.
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20
What is your preferred start date? * This field is required.
Date
Year
Month
Day
21
Did you read (and are you familiar with) the entire general FAQ, as well as the individual program FAQ, curriculum, optional textbook checklists, and modules for your specific program?* This field is required.If you check 'No, not yet...' —Admissions will put your application on hold and request you complete this task before proceeding with your application.
YesNo, not yet, but I will later.
22
Check 3 things you read on the general and program FAQ* This field is required.Check any facts or concepts you recall seeing on our website before applying:
students can cancel their tuition payments and unenroll at any time
our graduates do not practice medicine, nor treat, diagnose or prescribe
scholarship students are not eligible for refunds
graduates of our traditional naturopathy program use TND/TNP or CHHP vs. ND (not permitted) as a professional designation.
application fees are non-refundable
23
You understand and can explain the difference between a traditional naturopath and a licensed naturopathic physician?* This field is required.If you are NOT applying for Traditional Naturopathy/Certified Holistic Health Practitioner or the Rockwell Tri-Doctorate, please click N/A or not applicable. Note: If you mark 'still not sure' — your application will be delayed until you can answer this question. Please read more here.
Yes
No
Still not sure.
Not applicable to the program I am applying for.
24
In your own words, what is the difference between a licensed naturopathic physician and a traditional naturopath?* This field is required.The answer is not "one is licensed and one is traditional". Please go into detail so we know you understand your rights and responsibilities if getting the RTD or TND. If you are NOT applying for either of those programs, and you are only applying for the CHD or AHND, then type N/A.
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You agree if completing the RTD or TND program to call refer to yourself as a 'Traditional Naturopath' or 'Traditional Naturopathic Doctor', ie 'TND' vs. a 'Naturopath Doctor', ie. 'ND'.* This field is required.Students and graduates caught using the term 'ND' are expelled and their registration with Rockwell will be revoked.
YESNO
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READ & ACKNOWLEDGE: If you ever need to unenroll/stop payment, we request that you contact our office at least 10 days before your next tuition payment, or unenrollment will take place the following month.* This field is required.
Yes, I understand.
27
Your signature below confirms that all of the information in this application is factually true, honestly presented, and that you are the person submitting this application.* This field is required.Spam Protection & Authenticity Verification
Yes, all of the information is true and I am the person I say I am.
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Signature* This field is required.Signature of applicant ID
Clear
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We read and respond to applications during our regular business hours of M-F 10 AM - 4 PM. If you do not recieve a response within bbusiness 4 days, please be sure to check your spam mail and/or drop us a line so we can check on the status of your application. Accepted students will be able to enroll in their chosen program upon admissions approval. Thank you!
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Rockwell Student Application Fee* This field is required.Students paying regular tuition are eligible for a refund in their first 14-days after enrolling. Scholarship students are not eligible for refunds due to the extremely low cost for the programs they are paying.
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