Admission Form

Students must be 18 years of age with a high school diploma or G.E.D.  Students must complete an admissions application form to be mailed along with a $200.00 non-refundable registration fee to ensure placement in the next available class.  Prior to acceptance into the training program, a phone interview with the school director is required.  Once accepted, an enrollment form is to be completed and the registration fee will be applied to the total cost of the program.

Please print out the Admission Form (pdf format*), complete all information, include check for registration fee and mail to:

Dr. Christine M. Jensen, LLC
102 Wolcott Road
Wolcott, CT 06716

Applications accepted by mail only, do not email the form.

 
  * Adobe Acrobat Reader 5 required to view Admission Form. Please go to Adobe's site if you need to install the lastest verion.
   
The Connecticut Center for Universal Reflexology

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