AD Admissions Application Test - Kerala Ayurveda Academy

Personal Details

First Name*

Last Name*

Email*

Phone*

Website

Address*

City*

State (U.S. Residents)

Province (Outside U.S.)

Country*

Zip Code*

Prerequisites

Level I Program Details

Please include details of your level I certification program.

Program Title*

Institution Name*

Institution Location*

Institution Phone*

Institution Email*

Is your level I program NAMA-approved?*

Certificate of Completion*

Transcript*

Level II Program Details

Please include details of your level II certification program.

Program Title*

Institution Name*

Institution Location*

Institution Phone*

Institution Email*

Is your level II program NAMA-approved?*

Certificate of Completion*

Transcript*

Anatomy & Physiology

Anatomy & Physiology is not required to join the program, though it is a corequisite required for certification.

Have you completed the A&P corequisite?*

If you have completed the A&P corequisite and not previously submitted documentation, please include your certificate of completion or transcript.

Experience and Training

Ayurvedic

List and describe any relevant professional Ayurvedic experience

List and describe additional Ayurvedic workshops or training you have taken with other institutions

General

List and describe any relevant training and certifications in other areas of study

What's your highest level of education*

Professional Community

U.S. Residents

International residents may skip this section.

Are you a NAMA member?

If yes, what's your NAMA membership level?
Level I - Ayurvedic Health Counselor (AHC)Level II - Ayurvedic Practitioner (AP)Level III - Ayurvedic Doctor (AD)Ayurvedic Yoga Therapist (AYT)Panchakarma Technician (PKT)

International Residents

U.S. residents may skip this section.

Are you involved in a local professional Ayurvedic Organization?

If yes, please describe?

Academic Goals

Essay Questions

Please answer the following in 500-750 words.

What brought you to Ayurveda?*

How do you envision your future with Ayurveda?*

Specialty & Eligibility

Do you have a preferred clinical specialty?*

Please describe your other commitments and approximately how much time you can dedicate to your AD studies*

Are you legally allowed to visit India?*

If you are not legally allowed to visit India, please explain

References

Please provide details for two references our Admissions team may contact.

Reference 1

Full Name*
Phone*
Email*

Reference 2

Full Name*
Phone*
Email*

Submission

Please double check your entries on this form to ensure all fields are complete.

Checklist*

Reviewed AD prerequisites and affirm I am qualified to enroll in this program
Uploaded level I program certificate of completion
Uploaded level I program transcript
Uploaded level II program certificate of completion
Uploaded level II program transcript
Completed all required fields with an orange asterisk
Completed all fields associated with my location, U.S. our International (outside U.S.)

Please confirm your agreement to the terms of this application*

I confirm that all experience and skills shared in this application are accurate to my identity and capabilities. I apply with full intention of enrolling in the Ayurvedic Doctor program. I understand that if elements of this application are incomplete, it will slow down the application processing time.