Massage School Application - Asheville School of Massage and Yoga

Thank you for your interest in attending the Massage Certification Course.

For Best Results Before Getting Started: Scan the form below to prepare your documents. Be in an uninterrupted environment & where you WON'T lose internet connection. Prepare answers to the short essay questions. Get Professional Reference & Personal Reference Information (Their name, phone number, professional license ID numbers) Take photos w/ your smartphone & email them to yourself of your Proof of ID (drivers license etc) and Proof of Education (GED, HS Diploma, etc). Prepare to pay the application fee $50

Massage Program Selection:*

500-Hour Program July Start
675-Hour Program April Start
675-Hour Program October Start

Name*

First Last

Mailing Address:*

Street Address City State / Province / Region ZIP / Postal Code Country

Email*

Enter Email Confirm Email

Primary Phone*

Secondary Phone

Date of Birth*

Citizenship*

US Citizen
Non-US Citizen

US Citizen Current State of Residence OR Non-US Citize Visa issued by:*

If US Citizen, enter State of Residence. IF Non-US Citizen, enter where Non-US Citizen Visa is issued by.

Have you ever been convicted of a felony or misdemeanor (excluding traﬃ c violations)?*

No
Yes

Felony information

Current Occupation*

Previous Occupation*

Good Start!

Where did you hear about the Asheville School of Massage & Yoga?*

Word of Mouth
Mountain Xpress
Internet
Facebook
Twitter
Other

Other: Heard about us...

Previous Education*

High School
GED Certificate
College

Number of years college

Emergency Contact Information: Contact Name*

First Last

Emergency Contact Phone Number*

Relative Contact Name*

First Last

Relative Contact Phone Number*

Relative Contact Relation (Mother, Husband, etc.)*

Personal Reference: Name*

First Last

Your Relationship (boss, church member, colleague, etc.)*

Personal Reference Address

Street Address City State / Province / Region ZIP / Postal Code Country

Personal Reference Phone*

Professional Reference: Name*

First Last

Getting There.

Professional Reference Title (Licensed Massage Therapist, Physician, Yoga Instructor, etc.)*

Professional Reference License Number

Professional Reference Phone*

Professional Reference Address

Street Address City State / Province / Region ZIP / Postal Code Country

Brieﬂy tell your personal experience with massage, including why you want to attend massage school.*

Brieﬂy describe your experience with yoga, and tell why you are interested in yoga as a component to your massage therapy education.*

How do you learn best? How have your past learning experiences (both formal and informal) served you or disappointed you? Do you have any learning disabilities or special needs?*

Describe your emotional and physical readiness to fully participate in our program. (If you are unclear about this statement, please make an appointment to talk with a staﬀ member.)*

How do you take care of yourself physically, emotionally, and spiritually? How will you continue to do this as you begin your education in massage therapy? What tends to sabotage your self-care, and how do you address that?*

What has been your experience with personal counseling/therapy?*

Brieﬂy tell about your experience with meditation and mindfulness practices.*

How do you plan to meet your tuition requirements and take care of yourself ﬁnancially while you are in school? Please be speciﬁc.*

Almost Done.

Student Application Checklist

In addition to your application, please submit to the school the following items: Proof of Age, College or High School Diploma

Proof of Documentation*

Upload: I'll upload them now below. (PS Tto photo the documents with your smartphone, email them to yourself, & upload them now!)
Snail Mail (Asheville School of Massage & Yoga 707 Haywood Rd. Asheville NC 28806
Email: Subject Line "Student Application your name files" to [email protected]"

Check here if you're choosing to snail mail or email these items in.

Proof of Age (copy of Driver’s License or Birth Certiﬁcate) PS: It's very easy to use your phone to photo this document, then email it to yourself and upload it here.

Proof of Education (HS Diploma, GED, etc.) PS: It's very easy to use your phone to photo this document, then email it to yourself and upload it here.

Max File Size is 20 MB

Payment Options*

Final Notes

Once the school has received your application and all of the items listed above, a school oﬃcial will call you to arrange an interview to complete the admissions process. If you are accepted to the program, an oﬃcial letter of acceptance will be sent to you after your interview. Call us to ensure we've received everything. 828.252.7377. 707 Haywood Road, Suite #001, Asheville, NC 28806 | (828) 252-7377 | www.AshevilleMassageSchool.org

Phone

This field is for validation purposes and should be left unchanged.

Massage Certification Application

Thank you for your interest in attending the Massage Certification Course.

Good Start!

Getting There.

Almost Done.

Student Application Checklist

Final Notes