Massage Therapist Application
Licensed Massage Therapist Application for Brownstone Station Wellness Center - Independent Contractor
First Name
Last Name
Email
Address
Enter a web address if you have one
Upload File - You can upload a resume or pertinent info
Select a File
You can choose to type in your resume here if you don't want to upload a file - One or the other is required though.
Email
Do you carry current liability insurance (ie abmp/amta etc)
Are you looking to have a regular weekly schedule or work as a pop-up practitioner - pop up meaning is to fill in here and there as needed or not having a regular weekly schedule.
If you are looking for a regular weekly schedule - how many days/ hours a week are you hoping to work?
Do you have professional social media pages? If so please list them below.
Date of application
Date you are hoping to start?
Do you have a current PA License for Massage Therapy is Pennsylvania? If so please list your license number.
Submit