Massage Application

Filling out out this application is your first step to start on your journey to becoming a massage therapist.

We have simplified the application form and the process should only take you 10-15 minutes. We encourage you to review and select your preferred start date and class time before completing the application.

Fields marked with an * are required.

I. Personal Information

First Name *

Last Name *

Date of birth *

Phone *

Email *

Street Address *

City

State

Country

Postal code

Which class are you applying for? Please provide the start date and schedule. *

II. Academic History

Highest level of education completed: *

Graduation/Completion Year: *

Are you transferring massage school credits? *

III. Enrollment Questions

Do you have a diagnosis that requires accommodations (e.g., dyslexia, hearing or visual impairments)? Will you need any special assistance to complete the program? If yes, please explain. *

Our learning environment requires students to practice (both giving and receiving) massage with classmates regardless of gender.

Do you have any objections to giving or receiving massage from all classmates regardless of gender? *

Yes

Do you have any health concerns that may affect your ability to participate in all aspects of the program? (This includes conditions like mental illness, pregnancy, or communicable diseases) *

Yes

If yes, please explain.

Have you ever been convicted of a felony or misdemeanor (excluding traffic violations)? *

Yes

How did you hear about us?

IV. Sign Your Application

By entering your full legal name below, you confirm that the information provided is accurate. You acknowledge that you are signing this form electronically.

Signature *

Clear

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Massage Application

Filling out out this application is your first step to start on your journey to becoming a massage therapist.

We have simplified the application form and the process should only take you 10-15 minutes. We encourage you to review and select your preferred start date and class time before completing the application.

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