New Student Application

You’re ready to take the next step! Complete this application and you will be on your way to a flexible and fulfilling career as a massage therapist. Our admissions guide, Autumn Lopez is the best, and is always available to help you.

Class Selection

Select a start date unless have not yet decided on one - or you are applying for a future date not yet listed.

Class Selection

Your Contact Information

Please select the last year you attended.

First Name

Middle Name

Last Name

Preferred Name

Email Address

Phone Number

Date of Birth

Social Security Number

Address

Apt/Suite

City

State

Zip Code

More About You

When Did You Graduate High School or Obtain Your GED?

Have You Attended College?

Highest Degree Attained

Have You Ever Been Convicted of a Crime?

If Yes, Please Explain

Federal Data Collection (Optional)

The federal government collects data on the ethnic background of students. Completion of this section is voluntary; the data is used by the Department of Education in determining how federal funds have been allocated, and in identifying areas of need.

How Do You Identify Your Ethnicity?

How Did You Find Out About Us?

Briefly Tell Us About Yourself

Emergency Contact Information

Emergency Contact Name

Phone Number

Relationship

Address

Apt/Suite

City

State

Zip Code

Application Fee

A non-refundable $25.00 application fee must be submitted for the application to be considered complete. For your convenience we've included the processing of that fee within the online application. All transactions are processed securely.

New Student Application

Class Selection

Your Contact Information

More About You

Federal Data Collection (Optional)

Emergency Contact Information

Application Fee

Request Information and Caring Helpful Assistance