HOLISTIC MASSAGE TRAINING INSTITUTE
Application for 810 hour massage therapy training
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Name
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Address
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City
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State
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Email
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Phone Number
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Social Security Number
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Without the dashes
Date of Birth
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Height
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Please enter your Height in foot'inches"; example: 5'6"
Weight
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Please enter your Weight in Pounds (lbs)
Gender
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Male
Female
legal information
What is your citizenship?
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U.S. citizen
Permanent resident (Green Card)
Visa holder
Other
Have you ever been convicted of a crime?
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Select One
Yes
No
Criminal conviction may affect a student's ability to become licensed, as defined by NCBTMB. Please check their website for details.
How did you learn about this program?
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Select One
Online Search
Friend
Career fair
Outreach event
Other
I pledge, as a condition of receiving student financial assistance, if I should decide to do so (whether federal or state), to remain drug free for the full term of the award. Unlawful use of drugs and alcohol may endanger my enrollment at Holistic Massage Training Institute as well as my federal and/or Maryland financial aid award.Comment
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Career interests
What Schedule and Start Date do you want?
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Why do you want to enroll in this program?
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What position do you visualize yourself in when you finish this program?
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What do you visualize yourself doing in five years?
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What are your future educational plans?
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What is your main career objective?
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Do you have any physical limitation or any medical condition which would limit your ability to work as a massage therapist? If so, please state what that is.
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commitment
This program requires that for each hour you spend with the instructor, you will need to spend approximately 1-2 hours/week studying the material on your own.
For example, if you are in a program that meets
12
hours/week, you will need another
12-24
hours/week studying time, raising your total commitment to
24-36
hours/week.
While studying, do you plan to work and/or have other duties?
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One full-time job
One part-time job
Other duties
Nothing else
I have read and I understand the commitment to the program
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I Agree
Work experience
You can upload your resume or fill out the forms below
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Max file size: 1MB
1. Employer's Name
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Employer's Address
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Supervisor's Name
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Date Employed
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Reason for Leaving
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2. Employer's Name
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Employer's Address
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Supervisor's Name
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Dates Employed
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Reason for Leaving
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3. Employer's Name
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Employer's Address
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Supervisor's Name
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Dates Employed
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Reason for Leaving
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education
Highest level of Education
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High School / GED
Some College(any college class or vocational class after h.s. at all)
College Graduate
Other
1. Name of School
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Please fill these forms only if they apply
Graduated?
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Select
Yes
No
Year started
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Year ended
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Transcript
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Max file size: 5MB
You can upload your transcript now or email/mail it later
2. Name of School
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Graduated?
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Select
Yes
No
Year started
*
Year ended
*
Transcript
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Max file size: 5MB
You can upload your transcript now or email/mail it later
3. Name of School
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Graduated?
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Select
Yes
No
Year started
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Year ended
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Transcript
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Max file size: 5MB
You can upload your transcript now or email/mail it later
references
Please include with this application letters of recommendation
from three people you have known for at least two years, and who are not related to you. Holistic Massage Training Institute may contact these individuals regarding your application.
You can upload, mail or fax your three reference letters.
Please make certain that the author has
signed
the letter.
Reference Name
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First
Last
Phone Number
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Reference Letter
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Max file size: 2MB
You can upload a scan here or send it to us via email or fax
Reference Name
*
First
Last
Phone Number
*
Reference Letter
*
Max file size: 2MB
You can upload a scan here or send it to us via email or fax
Reference Name
*
First
Last
Phone Number
*
Reference Letter
*
Max file size: 2MB
You can upload a scan here or send it to us via email or fax
Please forward any high school, college, or trade school transcripts to our office.
High School transcript is not required if you submit college transcript showing at least
60 credits
.
For the Admissions Interview, please bring with you
an o
fficial State photo I.D. or Driver's License.
Holistic Massage Training Institute
2834 Loch Raven Road
Baltimore, MD 21218
FAX: (
206) 338-5480
Submit
If you have
any questions, do not hesitate to contact our Office at
(410) 243-4688
Click on the "Pay Now" button below to pay the $80 application fee.