Apply Now – HMTI

Name

Last

Phone Number

Address

City

State

Zip

Social Security Number

Height

Weight

Gender

LEGAL INFORMATION

What Is Your Citizenship?

U. S. Citizenship Permanent Resident (Green Card) Visa Holder Other

Have you been convicted of a crime? *

How did you learn about this program?

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. *

CAREER INTERESTS

What Schedule and Start Date do you want?

Why do you want to enroll in this program?

What position do you visualize yourself in when you finish this program?

What do you visualize yourself doing in five years?

What are your future educational plans?

What is your main career objective?

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.

COMMITMENT

While studying, do you plan to work and/or have other duties? *While studying, do you plan to work and/or have other duties?

One Full-time job One part-time job Other duties Nothing else

I have read and I understand the commitment to the program. *

I Agree

WORK EXPERIENCE

You can upload your resume or fill out the forms below

Employer's Name

Employer's Address

Supervisor's Name

Date Employed

Reason for Leaving

Employer's Name

Employer's Address

Supervisor's Name

Date Employed

Reason for Leaving

Employer's Name

Employer's Address

Supervisor's Name

Date Employed

Reason for Leaving

EDUCATION

1. Name of School

Graduated?

Year started

Year ended

Transcript

2. Name of School

Graduated?

Year started

Year ended

Transcript

3. Name of School

Graduated?

Year started

Year ended

You can upload your resume or fill out the forms below

REFERENCES

Please include with this application letters of recommendation from tWO 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 tWO reference letters. Please make certain that the author has signed the letter.

Reference Name

Last Name

Phone Number

Reference Letter

Reference Name

Phone Number

Last Name

Reference Letter

1 Please forward any high school, college, or trade school transcripts to our office.
2 High School transcript is not required if you submit college transcript showing at least 60 credits.
3. For the Admissions Interview, please bring with you an official State photo I.D. or Driver's License.

Holistic Massage Training Institute
2834 Loch Raven Road Baltimore, MD 21218