Academy Form Full - Main Street Vegan

Academy Application Form

Name:*
First Last
Please provide your complete name that you want on your graduation certificate, as well as any professional credentials such as RN, RD, or Ph.D, that you may already have. If you change your name prior to your class, please let us know immediately. We make the certificates as soon as the class is filled and we need everyone's correct name.
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For which class are you applying?
How did you hear about Main Street Vegan Academy?*
If an individual referred you please list name so we can thank them.
How long have you been vegan? What sparked your interest in the vegan lifestyle?
Please note that YOU MUST BE A DIETARY VEGAN -- NO MEAT, FOWL, FISH, EGGS OR DAIRY PRODUCTS -- TO BE ACCEPTED INTO THIS PROGRAM. If you are still transitioning away from non-vegan clothing, etc., this is not a problem.
Why do you wish to become an MSV-certified Vegan Lifestyle Coach and Educator?
Your Digital Signature (Please type your full name)*

My digital signature above confirms that: (1) I am a dietary vegan. (2) If some emergency keeps me from participating, I will receive a refund less a $150 processing fee. (3) I understand that Main Street Vegan Academy makes no guarantee to any student that he or she will be able to turn the certification that results from this course into a successful business or side business, although some graduates have done this.
Product Name*
- MSVA Summer 2021 (Zoom)
- MSVA Winter 2022 (Zoom)
Please click SUBMIT and PAY below to complete the application process.
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$0.00

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