Community Herbalist Program 2020 ~ Application Form

Community Herbalist Program 2026 ~ Application Form
Class on Mondays 9:30 to 4:00; Tuesdays 5:30 to 8:00 pm

March 9th through November 17th
Course:
To complete your application please submit/complete the following:
1. $395.00 deposit (required at the end of this application form)
2. Resume of Herbal training & certification, other healing arts / medical training & licensure
3. If not a CSHS student: 1 letter of recommendation from a previous herbal teacher
4. Schedule an in-person interview with program director – Bryan Bowen bryan.w.bowen@gmail.com
5. Send any questions to cshs@cshs.com and bryan.w.bowen@gmail.com
CSHS STUDENTS:
Upload your resume of Herbal training & certification, other healing arts / medical training & licensure.

--or--

IF YOU ARE NOT A CSHS STUDENT:
Please upload 1 letter of recommendation from a previous herbal teacher.
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Name and Pronoun*
What are your goals and ambitions with herbal medicine? What do you hope to do with this education?*
Do you have previous experience working in herbal medicine and healthcare? What previous herbal study (both classroom and at home) have you done?*
What are your strengths in the field of herbal medicine?*
What areas do you feel like you need support in?*
Is there a project or subject matter you would like to focus on in this course? *
This course is weekly and intensive. Attendance and punctuality is mandatory. Will you be able to fully attend?*
Including two camping trips?*
If you were to setup a pharmacy today what are the first 10 herbs you would include? *
Please upload a current photo of you:*

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Full Name*

First NameLast Name
Email Address (must be all lowercase)*

Confirmation Email
Mobile Number*

Area CodePhone Number
Mailing Address*

Street Address

Street Address Line 2

CityState

Zip Code
Current Occupation:*
Date of Birth*

MonthDayYear
Emergency Contact Name and Number:*
Policies & Procedures

Please read the policies and procedures below. This box must be checked in order to submit your form.
Signature*

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Typed Name of Applicant*

First NameLast Name
My Products*
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2026 Community Herbalist Program Deposit$395.00

Total $0.00
Date*

MonthDayYear
To submit this application, a deposit for the class is required.

PLEASE NOTE:

1) Make sure you've checked the Policies & Procedures checkbox above.

2) Then click "Paypal Checkout" below. This will open a Paypal pop-up window where you can either login with your Paypal account to pay or you can click the box to pay with credit or debit card. Please be patient while your payment is submitted. Once it goes through you will be redirected back to a Thank You page. You will also receive an email confirmation.
PAYMENT Deposit $395
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Community Herbalist Program 2026 ~ Application Form

Policies & Procedures