{"id":1029,"date":"2018-03-04T18:13:48","date_gmt":"2018-03-04T18:13:48","guid":{"rendered":"https:\/\/withoutlifterp.wpenginepowered.com\/courses\/?page_id=1029"},"modified":"2018-11-03T01:07:43","modified_gmt":"2018-11-03T01:07:43","slug":"internship-admissions-application","status":"publish","type":"page","link":"https:\/\/www.wellness.keralaayurveda.us\/courses\/programs\/internship-admissions-application\/","title":{"rendered":"Internship Admissions Application"},"content":{"rendered":"<h3>Programs<\/h3>\n<p>This application is for non-KAA students applying to the <a href=\"https:\/\/www.keralaayurveda.us\/courses\/programs\/us-clinical-internship\/\">U.S. Clinical Internship<\/a> or India Internship.<br \/>\n&nbsp;<\/p>\n<h3>Instructions<\/h3>\n<p>Please complete all fields of this application for our Admissions Department. After reviewing your application, our National Enrollment Adviser will be in touch to assist you through the rest of our application process.<\/p>\n<p><strong>Please note the required prerequisite for our clinical internship programs is as follows:<\/strong> <span style=\"font-weight: 400;\">student (on clinical topics) or graduate of an equivalent program to our <a href=\"https:\/\/www.keralaayurveda.us\/courses\/programs\/awp\/\">level II &#8211; Ayurvedic Wellness Practitioner certification program<\/a><\/span>.<\/p>\n<p><strong>It is recommended that you do not complete this application until your level II program training documentation is ready for inclusion. <\/strong>We require a transcript or certificate of completion as proof of prerequisite and cannot consider your application until you have provided this documentation.<br \/>\n&nbsp;<\/p>\n<h3>Application Form<\/h3>\n<hr \/>\n<div id='crmWebToEntityForm' style='width:800px;margin:0;'> <META HTTP-EQUIV ='content-type' CONTENT='text\/html;charset=UTF-8'> <\/p>\n<form action='https:\/\/crm.zoho.com\/crm\/WebToLeadForm' name=WebToLeads540146000005247034 method='POST' enctype='multipart\/form-data' onSubmit='javascript:document.charset=\"UTF-8\"; return checkMandatory()' accept-charset='UTF-8'><!-- Do not remove this code. --><input type='text' style='display:none;' name='xnQsjsdp' value='cd0e4fbea7da7669d742113ad04b430216e08961adbc2d271505b03fa7a17503'\/><input type='hidden' name='zc_gad' id='zc_gad' value=''\/><input type='text' style='display:none;' name='xmIwtLD' value='4bb19cc140d426227aa7e8b0285359781965d8570e014721bb7beb01213009fe'\/><input type='text' style='display:none;'  name='actionType' value='TGVhZHM='\/><input type='text' style='display:none;' name='returnURL' value='https&#x3a;&#x2f;&#x2f;www.keralaayurveda.us&#x2f;courses&#x2f;thank-you-for-contacting-us&#x2f;' \/> \t <!-- Do not remove this code. --> <\/p>\n<style>\ttr , td { padding:6px; border-spacing:0px; border-width:0px; } <\/style>\n<table style=\"width: 800px; background-color: white; color: black;\">\n<tbody>\n<tr>\n<td style=\"nowrap: nowrap; text-align: left;  width: 250px;\">First Name<span style=\"color: red;\">*<\/span><\/td>\n<td style=\"width: 250px;\"><input style=\"width: 250px;\" maxlength=\"40\" name=\"First Name\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td style=\"nowrap: nowrap; text-align: left;  width: 200px;\">Last Name<span style=\"color: red;\">*<\/span><\/td>\n<td style=\"width: 250px;\"><input style=\"width: 250px;\" maxlength=\"80\" name=\"Last Name\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td style=\"nowrap: nowrap; text-align: left;  width: 200px;\">Email<span style=\"color: red;\">*<\/span><\/td>\n<td style=\"width: 250px;\"><input style=\"width: 350px;\" maxlength=\"150\" name=\"Email\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td style=\"nowrap: nowrap; text-align: left;  width: 200px;\">Phone<span style=\"color: red;\">*<\/span><\/td>\n<td style=\"width: 250px;\"><input style=\"width: 250px;\" maxlength=\"30\" name=\"Phone\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td style=\"nowrap: nowrap; text-align: left;  width: 200px;\">Country<span style=\"color: red;\">*<\/span><\/td>\n<td style=\"width: 250px;\"><select style=\"width: 250px;\" name=\"LEADCF28\"><option value=\"Option 2\">Option 2<\/option><option value=\"Afghanistan\">Afghanistan<\/option><option value=\"Albania\">Albania<\/option><option value=\"Algeria\">Algeria<\/option><option value=\"American Samoa\">American Samoa<\/option><option value=\"Andorra\">Andorra<\/option><option value=\"Angola\">Angola<\/option><option value=\"Anguilla\">Anguilla<\/option><option value=\"Antarctica\">Antarctica<\/option><option value=\"Antigua and Barbuda\">Antigua and Barbuda<\/option><option value=\"Argentina\">Argentina<\/option><option value=\"Armenia\">Armenia<\/option><option value=\"Aruban\">Aruban<\/option><option value=\"Australia\">Australia<\/option><option value=\"Austria\">Austria<\/option><option value=\"Azerbaijan\">Azerbaijan<\/option><option value=\"Bahamas\">Bahamas<\/option><option value=\"Bahrain\">Bahrain<\/option><option value=\"Bangladesh\">Bangladesh<\/option><option value=\"Barbados\">Barbados<\/option><option value=\"Belarus\">Belarus<\/option><option value=\"Belgium (Dutch)\">Belgium (Dutch)<\/option><option value=\"Belgium (French)\">Belgium (French)<\/option><option value=\"Belize\">Belize<\/option><option value=\"Benin\">Benin<\/option><option value=\"Bermuda\">Bermuda<\/option><option value=\"Bhutan\">Bhutan<\/option><option value=\"Bolivia\">Bolivia<\/option><option value=\"Bosnia and Herzegovina\">Bosnia and Herzegovina<\/option><option value=\"Botswana\">Botswana<\/option><option value=\"Bouvet Island\">Bouvet Island<\/option><option value=\"Brazil\">Brazil<\/option><option value=\"British Indian Ocean Territory\">British Indian Ocean Territory<\/option><option value=\"British Virgin Islands\">British Virgin Islands<\/option><option value=\"Brunei\">Brunei<\/option><option value=\"Bulgaria\">Bulgaria<\/option><option value=\"Burkina Faso\">Burkina Faso<\/option><option value=\"Burundi\">Burundi<\/option><option value=\"Cambodia\">Cambodia<\/option><option value=\"Cameroon\">Cameroon<\/option><option value=\"Canada\">Canada<\/option><option value=\"Cape Verde\">Cape Verde<\/option><option value=\"Cayman Islands\">Cayman Islands<\/option><option value=\"Central African Republic\">Central African Republic<\/option><option value=\"Chad\">Chad<\/option><option value=\"Chile\">Chile<\/option><option value=\"China\">China<\/option><option value=\"Christmas Island\">Christmas Island<\/option><option value=\"Cocos Islands\">Cocos Islands<\/option><option value=\"Colombia\">Colombia<\/option><option value=\"Comoros\">Comoros<\/option><option value=\"Congo\">Congo<\/option><option value=\"Cook Islands\">Cook Islands<\/option><option value=\"Costa Rica\">Costa Rica<\/option><option value=\"Croatia\">Croatia<\/option><option value=\"Cuba\">Cuba<\/option><option value=\"Cyprus\">Cyprus<\/option><option value=\"Czech Republic\">Czech Republic<\/option><option value=\"Cote d'Ivoire\">Cote d&#8217;Ivoire<\/option><option value=\"Denmark\">Denmark<\/option><option value=\"Djibouti\">Djibouti<\/option><option value=\"Dominica\">Dominica<\/option><option value=\"Dominican Republic\">Dominican Republic<\/option><option value=\"Ecuador\">Ecuador<\/option><option value=\"Egypt\">Egypt<\/option><option value=\"El Salvador\">El Salvador<\/option><option value=\"Equatorial Guinea\">Equatorial Guinea<\/option><option value=\"Eritrea\">Eritrea<\/option><option value=\"Estonia\">Estonia<\/option><option value=\"Ethiopia\">Ethiopia<\/option><option value=\"Falkland Islands\">Falkland Islands<\/option><option value=\"Faroe Islands\">Faroe Islands<\/option><option value=\"Fiji\">Fiji<\/option><option value=\"Finland\">Finland<\/option><option value=\"France\">France<\/option><option value=\"French Guiana\">French Guiana<\/option><option value=\"French Polynesia\">French Polynesia<\/option><option value=\"French Southern Territories\">French Southern Territories<\/option><option value=\"Gabon\">Gabon<\/option><option value=\"Gambia\">Gambia<\/option><option value=\"Georgia\">Georgia<\/option><option value=\"Germany\">Germany<\/option><option value=\"Ghana\">Ghana<\/option><option value=\"Gibraltar\">Gibraltar<\/option><option value=\"Greece\">Greece<\/option><option value=\"Greenland\">Greenland<\/option><option value=\"Grenada\">Grenada<\/option><option value=\"Guadeloupe\">Guadeloupe<\/option><option value=\"Guam\">Guam<\/option><option value=\"Guatemala\">Guatemala<\/option><option value=\"Guernsey\">Guernsey<\/option><option value=\"Guinea\">Guinea<\/option><option value=\"GuineaBissau\">GuineaBissau<\/option><option value=\"Guyana\">Guyana<\/option><option value=\"Haiti\">Haiti<\/option><option value=\"Heard Island and McDonald Islands\">Heard Island and McDonald Islands<\/option><option value=\"Honduras\">Honduras<\/option><option value=\"Hong Kong\">Hong Kong<\/option><option value=\"Hungary\">Hungary<\/option><option value=\"Iceland\">Iceland<\/option><option value=\"India\">India<\/option><option value=\"Indonesia\">Indonesia<\/option><option value=\"Iran\">Iran<\/option><option value=\"Iraq\">Iraq<\/option><option value=\"Ireland\">Ireland<\/option><option value=\"Israel\">Israel<\/option><option value=\"Italy\">Italy<\/option><option value=\"Jamaica\">Jamaica<\/option><option value=\"Japan\">Japan<\/option><option value=\"Jersey\">Jersey<\/option><option value=\"Jordan\">Jordan<\/option><option value=\"Kazakhstan\">Kazakhstan<\/option><option value=\"Kenya\">Kenya<\/option><option value=\"Kiribati\">Kiribati<\/option><option value=\"Kuwait\">Kuwait<\/option><option value=\"Kyrgyzstan\">Kyrgyzstan<\/option><option value=\"Laos\">Laos<\/option><option value=\"Latvia\">Latvia<\/option><option value=\"Lebanon\">Lebanon<\/option><option value=\"Lesotho\">Lesotho<\/option><option value=\"Liberia\">Liberia<\/option><option value=\"Libya\">Libya<\/option><option value=\"Liechtenstein\">Liechtenstein<\/option><option value=\"Lithuania\">Lithuania<\/option><option value=\"Luxembourg(French)\">Luxembourg(French)<\/option><option value=\"Luxembourg(German)\">Luxembourg(German)<\/option><option value=\"Macao\">Macao<\/option><option value=\"Macedonia\">Macedonia<\/option><option value=\"Madagascar\">Madagascar<\/option><option value=\"Malawi\">Malawi<\/option><option value=\"Malaysia\">Malaysia<\/option><option value=\"Maldives\">Maldives<\/option><option value=\"Mali\">Mali<\/option><option value=\"Malta\">Malta<\/option><option value=\"Marshall Islands\">Marshall Islands<\/option><option value=\"Martinique\">Martinique<\/option><option value=\"Mauritania\">Mauritania<\/option><option value=\"Mauritius\">Mauritius<\/option><option value=\"Mayotte\">Mayotte<\/option><option value=\"Mexico\">Mexico<\/option><option value=\"Micronesia\">Micronesia<\/option><option value=\"Moldova\">Moldova<\/option><option value=\"Monaco\">Monaco<\/option><option value=\"Mongolia\">Mongolia<\/option><option value=\"Montenegro\">Montenegro<\/option><option value=\"Montserrat\">Montserrat<\/option><option value=\"Morocco\">Morocco<\/option><option value=\"Mozambique\">Mozambique<\/option><option value=\"Myanmar\">Myanmar<\/option><option value=\"Namibia\">Namibia<\/option><option value=\"Nauru\">Nauru<\/option><option value=\"Nepal\">Nepal<\/option><option value=\"Netherlands\">Netherlands<\/option><option value=\"Netherlands Antilles\">Netherlands Antilles<\/option><option value=\"New Caledonia\">New Caledonia<\/option><option value=\"New Zealand\">New Zealand<\/option><option value=\"Nicaragua\">Nicaragua<\/option><option value=\"Niger\">Niger<\/option><option value=\"Nigeria\">Nigeria<\/option><option value=\"Niue\">Niue<\/option><option value=\"Norfolk Island\">Norfolk Island<\/option><option value=\"North Korea\">North Korea<\/option><option value=\"Northern Ireland\">Northern Ireland<\/option><option value=\"Northern Mariana Islands\">Northern Mariana Islands<\/option><option value=\"Norway\">Norway<\/option><option value=\"Oman\">Oman<\/option><option value=\"Pakistan\">Pakistan<\/option><option value=\"Palau\">Palau<\/option><option value=\"Palestine\">Palestine<\/option><option value=\"Panama\">Panama<\/option><option value=\"Papua New Guinea\">Papua New Guinea<\/option><option value=\"Paraguay\">Paraguay<\/option><option value=\"Peru\">Peru<\/option><option value=\"Philippines\">Philippines<\/option><option value=\"Pitcairn\">Pitcairn<\/option><option value=\"Poland\">Poland<\/option><option value=\"Portugal\">Portugal<\/option><option value=\"Puerto Rico\">Puerto Rico<\/option><option value=\"Qatar\">Qatar<\/option><option value=\"Reunion\">Reunion<\/option><option value=\"Romania\">Romania<\/option><option value=\"Russia\">Russia<\/option><option value=\"Rwanda\">Rwanda<\/option><option value=\"Saint Helena\">Saint Helena<\/option><option value=\"Saint Kitts and Nevis\">Saint Kitts and Nevis<\/option><option value=\"Saint Lucia\">Saint Lucia<\/option><option value=\"Saint Pierre and Miquelon\">Saint Pierre and Miquelon<\/option><option value=\"Saint Vincent and the Grenadines\">Saint Vincent and the Grenadines<\/option><option value=\"Samoa\">Samoa<\/option><option value=\"San Marino\">San Marino<\/option><option value=\"Sao Tome and Principe\">Sao Tome and Principe<\/option><option value=\"Saudi Arabia\">Saudi Arabia<\/option><option value=\"Senegal\">Senegal<\/option><option value=\"Serbia\">Serbia<\/option><option value=\"Serbia and Montenegro\">Serbia and Montenegro<\/option><option value=\"Seychelles\">Seychelles<\/option><option value=\"Sierra Leone\">Sierra Leone<\/option><option value=\"Singapore\">Singapore<\/option><option value=\"Slovakia\">Slovakia<\/option><option value=\"Slovenia\">Slovenia<\/option><option value=\"Solomon Islands\">Solomon Islands<\/option><option value=\"Somalia\">Somalia<\/option><option value=\"South Africa\">South Africa<\/option><option value=\"South Georgia and the South Sandwich Islands\">South Georgia and the South Sandwich Islands<\/option><option value=\"South Korea\">South Korea<\/option><option value=\"Spain\">Spain<\/option><option value=\"Sri Lanka\">Sri Lanka<\/option><option value=\"Sudan\">Sudan<\/option><option value=\"Suriname\">Suriname<\/option><option value=\"Svalbard and Jan Mayen\">Svalbard and Jan Mayen<\/option><option value=\"Swaziland\">Swaziland<\/option><option value=\"Sweden\">Sweden<\/option><option value=\"Switzerland(French)\">Switzerland(French)<\/option><option value=\"Switzerland(German)\">Switzerland(German)<\/option><option value=\"Switzerland(Italian)\">Switzerland(Italian)<\/option><option value=\"Syria\">Syria<\/option><option value=\"Taiwan\">Taiwan<\/option><option value=\"Tajikistan\">Tajikistan<\/option><option value=\"Tanzania\">Tanzania<\/option><option value=\"Thailand\">Thailand<\/option><option value=\"The Democratic Republic of Congo\">The Democratic Republic of Congo<\/option><option value=\"Timor-Leste\">Timor-Leste<\/option><option value=\"Togo\">Togo<\/option><option value=\"Tokelau\">Tokelau<\/option><option value=\"Tonga\">Tonga<\/option><option value=\"Trinidad and Tobago\">Trinidad and Tobago<\/option><option value=\"Tunisia\">Tunisia<\/option><option value=\"Turkey\">Turkey<\/option><option value=\"Turkmenistan\">Turkmenistan<\/option><option value=\"Turks and Caicos Islands\">Turks and Caicos Islands<\/option><option value=\"Tuvalu\">Tuvalu<\/option><option value=\"Virgin Islands\">Virgin Islands<\/option><option value=\"Uganda\">Uganda<\/option><option value=\"Ukraine\">Ukraine<\/option><option value=\"United Arab Emirates\">United Arab Emirates<\/option><option value=\"United Kingdom\">United Kingdom<\/option><option selected=\"selected\" value=\"United States\">United States<\/option><option value=\"United States Minor Outlying Islands\">United States Minor Outlying Islands<\/option><option value=\"Uruguay\">Uruguay<\/option><option value=\"Uzbekistan\">Uzbekistan<\/option><option value=\"Vanuatu\">Vanuatu<\/option><option value=\"Vatican\">Vatican<\/option><option value=\"Venezuela\">Venezuela<\/option><option value=\"Vietnam\">Vietnam<\/option><option value=\"Wallis and Futuna\">Wallis and Futuna<\/option><option value=\"Western Sahara\">Western Sahara<\/option><option value=\"Yemen\">Yemen<\/option><option value=\"Zambia\">Zambia<\/option><option value=\"Zimbabwe\">Zimbabwe<\/option><option value=\"Aland Islands\">Aland Islands<\/option><\/select><\/td>\n<\/tr>\n<tr>\n<td style=\"nowrap: nowrap; text-align: left;  width: 200px;\">City<span style=\"color: red;\">*<\/span><\/td>\n<td style=\"width: 250px;\"><input style=\"width: 250px;\" maxlength=\"30\" name=\"City\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td style=\"nowrap: nowrap; text-align: left;  width: 200px;\">State<br \/>\n<span style=\"font-size: 80%; color: #379b38;\">Leave blank if you live outside the U.S.<\/span><\/td>\n<td style=\"width: 250px;\"><select style=\"width: 250px;\u201d name=\"LEADCF29\"><option value=\"Alabama\">Alabama<\/option><option value=\"Alaska\">Alaska<\/option><option value=\"Arizona\">Arizona<\/option><option value=\"Arkansas\">Arkansas<\/option><option selected=\"selected\" value=\"California\">California<\/option><option value=\"Colorado\">Colorado<\/option><option value=\"Connecticut\">Connecticut<\/option><option value=\"Delaware\">Delaware<\/option><option value=\"Florida\">Florida<\/option><option value=\"Georgia\">Georgia<\/option><option value=\"Hawaii\">Hawaii<\/option><option value=\"Idaho\">Idaho<\/option><option value=\"Illinois\">Illinois<\/option><option value=\"Indiana\">Indiana<\/option><option value=\"Iowa\">Iowa<\/option><option value=\"Kansas\">Kansas<\/option><option value=\"Kentucky\">Kentucky<\/option><option value=\"Louisiana\">Louisiana<\/option><option value=\"Maine\">Maine<\/option><option value=\"Maryland\">Maryland<\/option><option value=\"Massachusetts\">Massachusetts<\/option><option value=\"Michigan\">Michigan<\/option><option value=\"Minnesota\">Minnesota<\/option><option value=\"Mississippi\">Mississippi<\/option><option value=\"Missouri\">Missouri<\/option><option value=\"Montana\">Montana<\/option><option value=\"Nebraska\">Nebraska<\/option><option value=\"Nevada\">Nevada<\/option><option value=\"New Hampshire\">New Hampshire<\/option><option value=\"New Jersey\">New Jersey<\/option><option value=\"New Mexico\">New Mexico<\/option><option value=\"New York\">New York<\/option><option value=\"North Carolina\">North Carolina<\/option><option value=\"North Dakota\">North Dakota<\/option><option value=\"Ohio\">Ohio<\/option><option value=\"Oklahoma\">Oklahoma<\/option><option value=\"Oregon\">Oregon<\/option><option value=\"Pennsylvania\">Pennsylvania<\/option><option value=\"Rhode Island\">Rhode Island<\/option><option value=\"South Carolina\">South Carolina<\/option><option value=\"South Dakota\">South Dakota<\/option><option value=\"Tennessee\">Tennessee<\/option><option value=\"Texas\">Texas<\/option><option value=\"Utah\">Utah<\/option><option value=\"Vermont\">Vermont<\/option><option value=\"Virginia\">Virginia<\/option><option value=\"Washington\">Washington<\/option><option value=\"West Virginia\">West Virginia<\/option><option value=\"Wisconsin\">Wisconsin<\/option><option value=\"Wyoming\">Wyoming<\/option><\/select><\/td>\n<\/tr>\n<tr>\n<td style=\"nowrap: nowrap; text-align: left;  width: 200px;\">Province<span style=\"font-size: 80%; color: #379b38;\">Leave blank if you live in the U.S.<\/span><\/td>\n<td style=\"width: 250px;\"><input style=\"width: 250px;\" maxlength=\"250\" name=\"LEADCF6\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td style=\"nowrap: nowrap; text-align: left;  width: 200px;\">Certification Status<span style=\"color: red;\">*<\/span><\/td>\n<td style=\"width: 250px;\"><select style=\"width: 250px;\" name=\"LEADCF31\"><option value=\"-None-\">-None-<\/option><option value=\"Certified Counselor\">Certified Counselor<\/option><option selected=\"selected\" value=\"Practitioner in training\">Practitioner in training<\/option><option value=\"Certified Practitioner\">Certified Practitioner<\/option><option value=\"Certified Masters in Ayurveda \/ Doctor\">Certified Masters in Ayurveda \/ Ayurvedic Doctor<\/option><\/select><\/td>\n<\/tr>\n<tr>\n<td style=\"nowrap: nowrap; text-align: left;  width: 200px;\">Graduation Date (Past or Anticipated)<span style=\"color: red;\">*<\/span><\/td>\n<td style=\"width: 250px;\"><input style=\"width: 250px;\" maxlength=\"20\" name=\"LEADCF83\" type=\"text\" placeholder=\"MM\/dd\/yyyy\" \/><\/td>\n<\/tr>\n<tr>\n<td style=\"nowrap: nowrap; text-align: left;  width: 200px;\">Level II Program<span style=\"color: red;\">*<\/span><br \/>\n<span style=\"font-size: 80%; color: #379b38;\">Please list level II Ayurvedic education details, including institution, program title, date of commencement and graduation date (if applicable).<\/span><\/td>\n<td><textarea style=\"width: 450px;\" maxlength=\"2000\" name=\"LEADCF27\">&nbsp;<\/textarea><\/td>\n<\/tr>\n<tr>\n<td style=\"nowrap: nowrap; text-align: left;  width: 200px;\">Transcript or Certificate of Completion<br \/>\n<span style=\"font-size: 80%; color: #379b38;\">Submit your current level II program transcript (minimum requirement) or certificate of completion (if applicable).<\/span><\/td>\n<td style=\"padding-top: 10px;\"><input id=\"theFile\" multiple=\"multiple\" name=\"theFile\" type=\"file\" \/><\/p>\n<p style=\"color: black; font-size: 11px; padding-left: 3px;\">File(s) size limit is 20MB.<\/p>\n<\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td style=\"nowrap: nowrap; text-align: left;  width: 200px;\">Additional Ayurvedic Training<br \/>\n<span style=\"font-size: 80%; color: #379b38;\">Please list additional Ayurvedic education, training or workshops you have completed, including institution, program title and date.<\/span><\/td>\n<td><textarea style=\"width: 450px;\" maxlength=\"2000\" name=\"LEADCF37\">&nbsp;<\/textarea><\/td>\n<\/tr>\n<tr>\n<td style=\"nowrap: nowrap; text-align: left;  width: 200px;\">Which session do you wish to join?<span style=\"color: red;\">*<\/span><\/td>\n<td><textarea style=\"width: 250px;\" maxlength=\"32000\" name=\"Description\">&nbsp;<\/textarea><\/td>\n<\/tr>\n<tr>\n<td style=\"nowrap: nowrap; text-align: left;  width: 200px;\">Are there any questions we can answer for you?<\/td>\n<td><textarea style=\"width: 450px;\" maxlength=\"1000\" name=\"LEADCF7\">&nbsp;<\/textarea><\/td>\n<\/tr>\n<tr>\n<td style=\"nowrap: nowrap; text-align: left;  width: 200px;\">How did you hear about us?<\/td>\n<td style=\"width: 250px;\"><select style=\"width: 250px;\" name=\"LEADCF8\"><option value=\"-None-\">-None-<\/option><option value=\"Facebook\">Facebook<\/option><option value=\"Google Ad\">Google Ad<\/option><option value=\"Web Search\">Web Search<\/option><option value=\"Instagram\">Instagram<\/option><option value=\"Twitter\">Twitter<\/option><option value=\"Linkedin\">Linkedin<\/option><option value=\"Youtube\">Youtube<\/option><option value=\"Email\">Email<\/option><option value=\"Seminars &amp; Workshops\">Seminars &amp; Workshops<\/option><option value=\"Student Referral\">Student Referral<\/option><option value=\"Faculty Referral\">Faculty Referral<\/option><option value=\"Other\">Other<\/option><\/select><\/td>\n<\/tr>\n<tr>\n<td>Captcha<br \/>\n<span style=\"font-size: 80%; color: #379b38;\">Please enter the characters<\/span><\/td>\n<td><input type='text' style='width:250px;' maxlength='80' name='enterdigest' \/><\/td>\n<\/tr>\n<tr>\n<td><\/td>\n<p>\t <!-- Do not remove this code. --><\/p>\n<td><img id='imgid' src='https:\/\/crm.zoho.com\/crm\/CaptchaServlet?formId=4bb19cc140d426227aa7e8b0285359781965d8570e014721bb7beb01213009fe&#038;grpid=cd0e4fbea7da7669d742113ad04b430216e08961adbc2d271505b03fa7a17503'><br \/>\n\t    <a href='javascript:;' onclick='reloadImg()'>Reload<\/a><\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center; padding-top: 15px;\" colspan=\"2\"><input style=\"font-size: 14px; color: #131307;\" type=\"submit\" value=\"Submit\" \/><br \/>\n<input style=\"font-size: 14px; color: #131307;\" type=\"reset\" value=\"Reset\" \/><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><script>\n \t  var mndFileds=new Array('LEADCF31','LEADCF27','LEADCF83','Description','First Name','Email','Last Name','Phone','City','LEADCF28');\n \t  var fldLangVal=new Array('Certification Status','Level II Program Details','Graduation Date (Past or Anticipated)','Which session do you wish to join?','First Name','Email','Last Name','Phone','City','Country Options');\n\t\tvar name='';\n\t\tvar email='';<\/p>\n<p>  \/* Do not remove this code. *\/\n \t  function reloadImg() {\n\t\tif(document.getElementById('imgid').src.indexOf('&d') !== -1 ) {\n  \t  \t  document.getElementById('imgid').src=document.getElementById('imgid').src.substring(0,document.getElementById('imgid').src.indexOf('&d'))+'&d'+new Date().getTime();\n\t\t}  else {\n  \t  \t  document.getElementById('imgid').src = document.getElementById('imgid').src+'&d'+new Date().getTime();\n\t\t } \n \t }<\/p>\n<p> \t  function checkMandatory() {\n\t\tfor(i=0;i<mndFileds.length;i++) { var fieldObj=document.forms['WebToLeads540146000005247034'][mndFileds[i]]; if(fieldObj) { if (((fieldObj.value).replace(\/^\\s+|\\s+$\/g, '')).length==0) { if(fieldObj.type =='file') { alert('Please select a file to upload.'); fieldObj.focus(); return false; } alert(fldLangVal[i] +' cannot be empty.'); fieldObj.focus(); return false; } else if(fieldObj.nodeName=='SELECT') { if(fieldObj.options[fieldObj.selectedIndex].value=='-None-') { alert(fldLangVal[i] +' cannot be none.'); fieldObj.focus(); return false; } } else if(fieldObj.type =='checkbox'){ if(fieldObj.checked == false){ alert('Please accept '+fldLangVal[i]); fieldObj.focus(); return false; } } try { if(fieldObj.name == 'Last Name') { name = fieldObj.value; } } catch (e) {} } } return validateFileUpload(); } function validateFileUpload(){ var uploadedFiles = document.getElementById('theFile'); var totalFileSize =0; if(uploadedFiles.files.length >3){ \n\t\t\t alert('You can upload a maximum of three files at a time.'); \n\t\t\t return false; \n\t\t } \n\t\t if ('files' in uploadedFiles) { \n\t\t\t if (uploadedFiles.files.length != 0) { \n\t\t\t\t for (var i = 0; i < uploadedFiles.files.length; i++) { var file = uploadedFiles.files[i]; if ('size' in file) { totalFileSize = totalFileSize + file.size; } } if(totalFileSize > 20971520){ \n\t\t\t\t\t alert('Total file(s) size should not exceed 20MB.'); \n\t\t\t\t\t return false; \n\t\t\t\t } \n\t\t\t } \n\t\t } \n\t }\n<\/script><\/p>\n<\/form>\n<p><!-- Do not remove this code. --><br \/>\n  <iframe name='captchaFrame' style='display:none;'><\/iframe><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Programs This application is for non-KAA students applying to the U.S. Clinical Internship or India Internship. &nbsp; Instructions Please complete all fields of this application for our Admissions Department. After [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":878,"menu_order":59,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"om_disable_all_campaigns":false,"footnotes":""},"elementor":[],"class_list":["post-1029","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.3 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Internship Admissions Application - Kerala Ayurveda Academy<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.wellness.keralaayurveda.us\/courses\/programs\/internship-admissions-application\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Internship Admissions Application - Kerala Ayurveda Academy\" \/>\n<meta property=\"og:description\" content=\"Programs This application is for non-KAA students applying to the U.S. Clinical Internship or India Internship. &nbsp; Instructions Please complete all fields of this application for our Admissions Department. After [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.wellness.keralaayurveda.us\/courses\/programs\/internship-admissions-application\/\" \/>\n<meta property=\"og:site_name\" content=\"Kerala Ayurveda Academy\" \/>\n<meta property=\"article:modified_time\" content=\"2018-11-03T01:07:43+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/crm.zoho.com\/crm\/CaptchaServlet?formId=4bb19cc140d426227aa7e8b0285359781965d8570e014721bb7beb01213009fe&grpid=cd0e4fbea7da7669d742113ad04b430216e08961adbc2d271505b03fa7a17503\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.wellness.keralaayurveda.us\/courses\/programs\/internship-admissions-application\/\",\"url\":\"https:\/\/www.wellness.keralaayurveda.us\/courses\/programs\/internship-admissions-application\/\",\"name\":\"Internship Admissions Application - Kerala Ayurveda Academy\",\"isPartOf\":{\"@id\":\"https:\/\/www.wellness.keralaayurveda.us\/courses\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/www.wellness.keralaayurveda.us\/courses\/programs\/internship-admissions-application\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/www.wellness.keralaayurveda.us\/courses\/programs\/internship-admissions-application\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/crm.zoho.com\/crm\/CaptchaServlet?formId=4bb19cc140d426227aa7e8b0285359781965d8570e014721bb7beb01213009fe&grpid=cd0e4fbea7da7669d742113ad04b430216e08961adbc2d271505b03fa7a17503\",\"datePublished\":\"2018-03-04T18:13:48+00:00\",\"dateModified\":\"2018-11-03T01:07:43+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/www.wellness.keralaayurveda.us\/courses\/programs\/internship-admissions-application\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.wellness.keralaayurveda.us\/courses\/programs\/internship-admissions-application\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/www.wellness.keralaayurveda.us\/courses\/programs\/internship-admissions-application\/#primaryimage\",\"url\":\"https:\/\/crm.zoho.com\/crm\/CaptchaServlet?formId=4bb19cc140d426227aa7e8b0285359781965d8570e014721bb7beb01213009fe&grpid=cd0e4fbea7da7669d742113ad04b430216e08961adbc2d271505b03fa7a17503\",\"contentUrl\":\"https:\/\/crm.zoho.com\/crm\/CaptchaServlet?formId=4bb19cc140d426227aa7e8b0285359781965d8570e014721bb7beb01213009fe&grpid=cd0e4fbea7da7669d742113ad04b430216e08961adbc2d271505b03fa7a17503\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.wellness.keralaayurveda.us\/courses\/programs\/internship-admissions-application\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Courses\",\"item\":\"https:\/\/www.wellness.keralaayurveda.us\/courses\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Courses: All Programs\",\"item\":\"https:\/\/www.wellness.keralaayurveda.us\/courses\/programs\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Internship Admissions Application\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.wellness.keralaayurveda.us\/courses\/#website\",\"url\":\"https:\/\/www.wellness.keralaayurveda.us\/courses\/\",\"name\":\"Kerala Ayurveda Academy\",\"description\":\"Deep roots, modern voice\",\"publisher\":{\"@id\":\"https:\/\/www.wellness.keralaayurveda.us\/courses\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/www.wellness.keralaayurveda.us\/courses\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/www.wellness.keralaayurveda.us\/courses\/#organization\",\"name\":\"Kerala Ayurveda Academy\",\"url\":\"https:\/\/www.wellness.keralaayurveda.us\/courses\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/www.wellness.keralaayurveda.us\/courses\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/www.wellness.keralaayurveda.us\/courses\/wp-content\/uploads\/sites\/10\/2022\/04\/cropped-KAL-Logo-DIGITAL2.png\",\"contentUrl\":\"https:\/\/www.wellness.keralaayurveda.us\/courses\/wp-content\/uploads\/sites\/10\/2022\/04\/cropped-KAL-Logo-DIGITAL2.png\",\"width\":233,\"height\":250,\"caption\":\"Kerala Ayurveda Academy\"},\"image\":{\"@id\":\"https:\/\/www.wellness.keralaayurveda.us\/courses\/#\/schema\/logo\/image\/\"}}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Internship Admissions Application - Kerala Ayurveda Academy","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.wellness.keralaayurveda.us\/courses\/programs\/internship-admissions-application\/","og_locale":"en_US","og_type":"article","og_title":"Internship Admissions Application - Kerala Ayurveda Academy","og_description":"Programs This application is for non-KAA students applying to the U.S. Clinical Internship or India Internship. &nbsp; Instructions Please complete all fields of this application for our Admissions Department. After [&hellip;]","og_url":"https:\/\/www.wellness.keralaayurveda.us\/courses\/programs\/internship-admissions-application\/","og_site_name":"Kerala Ayurveda Academy","article_modified_time":"2018-11-03T01:07:43+00:00","og_image":[{"url":"https:\/\/crm.zoho.com\/crm\/CaptchaServlet?formId=4bb19cc140d426227aa7e8b0285359781965d8570e014721bb7beb01213009fe&grpid=cd0e4fbea7da7669d742113ad04b430216e08961adbc2d271505b03fa7a17503","type":"","width":"","height":""}],"twitter_card":"summary_large_image","twitter_misc":{"Est. reading time":"3 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.wellness.keralaayurveda.us\/courses\/programs\/internship-admissions-application\/","url":"https:\/\/www.wellness.keralaayurveda.us\/courses\/programs\/internship-admissions-application\/","name":"Internship Admissions Application - Kerala Ayurveda Academy","isPartOf":{"@id":"https:\/\/www.wellness.keralaayurveda.us\/courses\/#website"},"primaryImageOfPage":{"@id":"https:\/\/www.wellness.keralaayurveda.us\/courses\/programs\/internship-admissions-application\/#primaryimage"},"image":{"@id":"https:\/\/www.wellness.keralaayurveda.us\/courses\/programs\/internship-admissions-application\/#primaryimage"},"thumbnailUrl":"https:\/\/crm.zoho.com\/crm\/CaptchaServlet?formId=4bb19cc140d426227aa7e8b0285359781965d8570e014721bb7beb01213009fe&grpid=cd0e4fbea7da7669d742113ad04b430216e08961adbc2d271505b03fa7a17503","datePublished":"2018-03-04T18:13:48+00:00","dateModified":"2018-11-03T01:07:43+00:00","breadcrumb":{"@id":"https:\/\/www.wellness.keralaayurveda.us\/courses\/programs\/internship-admissions-application\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.wellness.keralaayurveda.us\/courses\/programs\/internship-admissions-application\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/www.wellness.keralaayurveda.us\/courses\/programs\/internship-admissions-application\/#primaryimage","url":"https:\/\/crm.zoho.com\/crm\/CaptchaServlet?formId=4bb19cc140d426227aa7e8b0285359781965d8570e014721bb7beb01213009fe&grpid=cd0e4fbea7da7669d742113ad04b430216e08961adbc2d271505b03fa7a17503","contentUrl":"https:\/\/crm.zoho.com\/crm\/CaptchaServlet?formId=4bb19cc140d426227aa7e8b0285359781965d8570e014721bb7beb01213009fe&grpid=cd0e4fbea7da7669d742113ad04b430216e08961adbc2d271505b03fa7a17503"},{"@type":"BreadcrumbList","@id":"https:\/\/www.wellness.keralaayurveda.us\/courses\/programs\/internship-admissions-application\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Courses","item":"https:\/\/www.wellness.keralaayurveda.us\/courses\/"},{"@type":"ListItem","position":2,"name":"Courses: All Programs","item":"https:\/\/www.wellness.keralaayurveda.us\/courses\/programs\/"},{"@type":"ListItem","position":3,"name":"Internship Admissions Application"}]},{"@type":"WebSite","@id":"https:\/\/www.wellness.keralaayurveda.us\/courses\/#website","url":"https:\/\/www.wellness.keralaayurveda.us\/courses\/","name":"Kerala Ayurveda Academy","description":"Deep roots, modern voice","publisher":{"@id":"https:\/\/www.wellness.keralaayurveda.us\/courses\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.wellness.keralaayurveda.us\/courses\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/www.wellness.keralaayurveda.us\/courses\/#organization","name":"Kerala Ayurveda Academy","url":"https:\/\/www.wellness.keralaayurveda.us\/courses\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/www.wellness.keralaayurveda.us\/courses\/#\/schema\/logo\/image\/","url":"https:\/\/www.wellness.keralaayurveda.us\/courses\/wp-content\/uploads\/sites\/10\/2022\/04\/cropped-KAL-Logo-DIGITAL2.png","contentUrl":"https:\/\/www.wellness.keralaayurveda.us\/courses\/wp-content\/uploads\/sites\/10\/2022\/04\/cropped-KAL-Logo-DIGITAL2.png","width":233,"height":250,"caption":"Kerala Ayurveda Academy"},"image":{"@id":"https:\/\/www.wellness.keralaayurveda.us\/courses\/#\/schema\/logo\/image\/"}}]}},"_links":{"self":[{"href":"https:\/\/www.wellness.keralaayurveda.us\/courses\/wp-json\/wp\/v2\/pages\/1029","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.wellness.keralaayurveda.us\/courses\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.wellness.keralaayurveda.us\/courses\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.wellness.keralaayurveda.us\/courses\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.wellness.keralaayurveda.us\/courses\/wp-json\/wp\/v2\/comments?post=1029"}],"version-history":[{"count":0,"href":"https:\/\/www.wellness.keralaayurveda.us\/courses\/wp-json\/wp\/v2\/pages\/1029\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/www.wellness.keralaayurveda.us\/courses\/wp-json\/wp\/v2\/pages\/878"}],"wp:attachment":[{"href":"https:\/\/www.wellness.keralaayurveda.us\/courses\/wp-json\/wp\/v2\/media?parent=1029"}],"wp:term":[{"taxonomy":"elementor","embeddable":true,"href":"https:\/\/www.wellness.keralaayurveda.us\/courses\/wp-json\/wp\/v2\/elementor?post=1029"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}