Application
Our 700-hour massage therapy diploma program begins every four months with full and part-time schedules available. If you'd like to apply to one of these program offerings, please answer the questions below.
First Name
Last Name
Tell us how you'd like to be addressed. Do you go by another name? If you have preferred pronouns you can share this here.
Email
Phone Number
Address
How did you hear about us?
Google/Website
Social Media
Friends
Other
Which of our 700 hour Massage Therapy programs are you applying for?
Full-time Day Program
Part-time Day Program
Part-time Evening Program
Are you a US Citizen or Perminent Resident?
Yes
No
Have you been convicted of a felony or misdemeanor (excluding traffic violations that do not involve drugs or alcohol)?
Yes
No
If the answer was yes to the question above please explain.
What is your current occupation?
What is the highest level of education you've completed?
GED/High School Equivalent
High School
Associates Degree
Bachelor's Degree
Master's Degree
Doctoral Degree
Specialty Certification
Other vocational training
Tell us about why you would like to pursue massage therapy education?
Briefly describe your personal experience with massage therapy.
How have your past learning experiences served or disappointed you?
Do you have any special needs that require accommodations? If so, please explain.
Describe your physical and emotional readiness to fully participate in our program (if you are unclear about this statement, please make an appointment to speak with one of our staff members).
Do you have a regular self-care practice? If so, please share it with us.
What tends to sabotage your selfcare and how do you address that?
Briefly tell us what experience you've had with meditation and mindfulness practices.
How do you plan to meet your tuition and other financial requirements while you are in school? Are you planning to work full-time, part time, or not at all while attending school?
Our program begins every (4) months. How soon are you planning to begin your studies?
I'd like to join the next available class
Within the next 3-6 months
Within 6-months - 1 year
More than 1 year from now
Not sure yet/Just gathering information
Your Signature
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Date
Upload picture of Photo ID
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Upload a copy of your High School Transcript or equivalent
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