Advanced Foundation Course Application
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First Name
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Last Name
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Email
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Title
Date of birth (dd.mm.yy)
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Ethnicity
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English/Welsh/Scottish/Northern Irish/British White
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United States
Uruguay
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Venezuela, RB
Vietnam
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Yemen, Rep.
Zambia
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How did you hear of this course?
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A herbal practitioner
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National Institute of Medical Herbalists
Herb Society
The Healing Garden at Emerson College
Social Media
Graduate
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I have completed the Heartwood Foundation Course
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I would like to reserve a place on the Heartwood Advanced Foundation Course on the date indicated
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Yes
I am happy to receive pre-course materials at the email address indicated
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Yes