CAISH

Please ensure the following are included in your application:

This application form completely filled in.
A current resume.
Proof of credentials such as professional designation, membership in good standing, technical certification. (Only for diploma program)
$100 Registration Fees. (Only for Credit programs)

Please provide us with the following information. All responses will be kept confidential.

General Information
Name:
Practice/Business Name : (for practitioners)
Address:
City:
Province:
Postal Code:
Telephone:
Fax:
Email:
Website:
Alternate Telephone:
How did you hear about CAISH Educational programs?
Preferred method of contact?	Telephone Email

Qualifications List all your qualifications, if necessary please send a separate email with additional qualifications here.
Year:	School:	Course:
Year:	School:	Course:
Year:	School:	Course:
Year:	School:	Course:
Year:	School:	Course:

If you are a complementary therapist and insured please state the nature of your practice and the type of insurance that you are covered with.

If you are a complementary therapist please state your nature of practice and years of experience and the type of patients that you commonly deal with.

Enrollment Information Please select courses that you wish to enroll for.
CAISH Beginners course
	History, Philosophy & Basic principles of Ayurveda
	Ayurvedic Anatomy & Physiology in detail
	Introduction to Ayurvedic Neurotherapy "Nadi Vigyan"
	Introduction to Ayurvedic therapies
CAISH Integrated Course for Practitioners and Students of Holistic Health
	Panchkarama (detoxification & rejuvenation therapy)
	Ayurvedic Herbalism
	Physical & rehabilitative therapy in Ayurveda

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