Steps for Admission | Apply | Therapeutic Connections School of Massage

Fill out the admissions form below to start the interview process.
Meet with the school director to tour the school and review the Information Packet so we can get to know you!
Visit the classroom to experience what it is like to learn massage therapy and/or receive a complimentary massage.

Student Admissions Application

Applicant Type: *

New Student
Transfer Student

Applicant Name: *

First

Last

Date of Birth: *

Social Security Number: *

Address: *

Address Line 1

City

State

Zip Code

Home Phone:

Cell Phone: *

Work Phone:

Email Address: *

What's the Best Way to Contact You? *

Text
Email
Call

How did you hear about us? *

Race: *

Disability: *

(Please explain):

Ability to Benefit
- Must be a high school graduate (information below)
- Ability to lift 50 lbs (demonstrate set-up of massage table)
- Basic computer skills (email, CD materials, resume, etc.)
- Washing State Patrol Background Check

Highest Grade Completed

Name of High School:

Graduation Date:

GED:

Date GED Attained:

Post High School:

What type of training?:

Certification (2 yrs):

What type of certification training?:

Associate Degree (Name of College or Training Institute):

Bachelors Dates Attended:

Current Employer (Name):

Phone Current Employer:

Interested in Day or Evening Classes: *

Interested in Fall, Winter, Spring or Summer Session start? *

In Case of Emergency Contact (name): *

Relationship: *

Phone Emergency Contact: *

I verify all information is accurate: *

Please write one or two paragraphs why you want to become a massage therapist?: *

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