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Center for World
Indigenous Studies
USA 1(360)586-0656
PMB 214-1001 Cooper Pt. Rd. SW
Suite 140
Olympia, WA 98501

  
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   Center for World Indigenous Studies Redirect

Center for World Indigenous Studies
PMB 214, 1001 Cooper Point RD SW 140
Olympia, Washington 98502 USA
Phone: (360) 586-0656
Fax (253) 276-0084

You may mail in your application or you may fill out our web form.

To mail in application - print this application and fill it out and send to us at address listed above.
(Please send your printed application and payment to C.W.I.S.

To use Online Certification application.
(Please fill out this form and press the submit button, at bottom of page, if you are paying with a credit card only.

Directions: 
 Enter information in to each field and press Tab or click in next box to move on.
Pressing RETURN will submit the form.

Section 1: Personal Information
Certificate Title  Enrollment Year
Name Inst. Affiliation
Address City / Town
St/Prv: Postcode
Phone Work Phone Home
Fax Email
Age  Sex FemaleMale Country
 
Section 2: Questions

Current Degrees, School, and date of receipt: ( e.g. BA University of Washington, 2000., etc

Current Licenses or Certificates (e.g. CNT, Nutritional Therapy Association, Olympia, 2005)

What is your academic, professional, or other background?
(Please use 1 - 2 pages.)

What are your goals for internship, certificate or MA degree?
(Please use 1 - 2 pages.)

Are you applying for the Masters Degree option? Yes No

Proposed Entrance Date?

 
Section 3: Financial

Note: There is a $50 application fee (Non-refundable) to process your application.

Payment Method Visa MasterCard American Express
Card holders Name
Card number
Expiration Date Month Year

 


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