Body - workers application

To apply for a program complete the form below. If the program that you are applying for is full or cancelled, you will be given priority in the next available class.

The ultimate goal of the admissions process is to enroll students who are constructive contributors to a functional school culture, can benefit and complete the program, and who will represent the school and the massage profession positively after graduation. 

First Name:*
Last Name:*
Address:*
Mobile Phone:*
Work Phone:
Birth Date:* (Format: mm/dd/yyyy)
E-mail Address:*
Emergency Contact (name, phone, relationship):*
Location / Michigan
Location / Texas