Follow the steps to complete the application form successfully.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Fill out the personal information section. Enter your name with credentials as you want them to appear on your certificate, and provide your street address, city, state, and zip code. Also, include your social security number, phone numbers, date of birth, email address, and current occupation.
3. Indicate your preferences for classes by selecting the desired season (Spring, Summer, Fall, Winter) and time (Day, Evening, Other).
4. Complete the support information for emergency contact. Provide the name, relationship, street address, city, state, zip code, and phone numbers for your contact person.
5. List two references who are not family members. Fill out their names, relationship to you, address, city, state, zip code, and phone numbers.
6. Provide your education and training information. List the high school you graduated from or are currently attending, including the city and graduation date. If applicable, also provide details of any colleges or training programs you have completed.
7. Describe any additional experience in healthcare or related fields as requested.
8. Answer the background questions regarding past convictions (excluding minor traffic violations) and any contagious diseases you may have had in the last two years. Provide explanations if necessary.
9. Sign the affidavit attesting that all questions have been answered truthfully and accurately.
10. Review the submission requirements including transcript requests, the $75 non-refundable application fee, and a brief explanation of your motivations for becoming a massage therapist. After completion, save your changes, download the form, print it, or share it as needed.

Complete your Student Application Form online today to start your path in massage therapy!