Steps for Admission

1. Fill out the admissions form below to start the interview process.
2. Meet with the school director to tour the school and review the Information Packet so we can get to know you!
3. 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:*

Street Address City State / Province / Region Postal / Zip Code

Home Phone:

Area Code

 - 

Phone Number

Cell Phone:*

Area Code

 - 

Phone Number

Work Phone:

Area Code

 - 

Phone Number

Email Address:*

What's the Best Way to Contact You? *

Text

Email

Call

How did you hear about us?*

Select valueWebsiteFacebookReferralGoogleOther

Race:*

White/CaucasianBlack/African AmericanAmerican Indian or Alaska NativeAsianHispanicHawaiian Native or other Pacific IslanderMulti-racialOther

Disability:*

Yes

No

(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 (2yrs):

What type of certification training?:

Associate Degree (Name of College or Training Institute):

Dates Attended:

Bachelors Degree (Name of College or Training Institute:

Bachelors Dates Attended:

Current Employer (Name):

Phone Current Employer:

Area Code

 - 

Phone Number

Interested in Day or Evening Classes:*

Select valueDayEveningNot Sure

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

Select valueFallWinterSpringSummerN/A

Sign up for our newsletter and receive school information about Massage School Programs, Student Clinic and Community Massage events:

Yes

In Case of Emergency Contact (Name):*

Relationship:*

Phone Emergency Contact:*

I verify all information is accurate:*

YES

Date:*

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

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