Body and Soul Theraputic Massage School :: Wichita's Body & Soul Massage Center

School Overview

Body and Soul Theraputic Massage School Online Course Application Form

*Please note: all fields are required

Please check one of the following:

150 Hour Swedish Certificate Course

500 Hour Professional Program

Last name:

First name:

Address:

City:

State:

Zip:

Home phone:

Work phone:

Email address:

Date of birth:

/ /

Male Female

Emergency contact:

Phone:

Relationship:

Educational Background

Please list the name of the institution(s), date(s) attended, and degree/certificate

Work Experience

List your last two employers starting with the most recent

Employer

Job title

Phone number

Start date (month / year)

End date (month / year)

Reason for leaving

Job description

Employer

Job title

Phone number

Start date (month / year)

End date (month / year)

Reason for leaving

Job description

* Please provide the following documents and mail them to Body and Soul Theraputic Massage School

1. A copy of your high school diploma or GED equivalent.
2. A copy of any other diplomas, certificates, or licenses of additional education.
3. A letter from a health professional stating that you are in good physical, mental and emotional health and are physically able to give and receive massage with no adversity to your well being.
4. Two letters of recommendation from an employer, teacher, or a health care professional (general physician, chiropractor, massage therapist, etc.).