Application

To apply online, please fill out the fields and checkboxes below and click the "Submit" button at the bottom of the page. If you prefer to apply by mail please click here to print out a hardcopy of our application (Adobe PDF, 56K, the free Acrobat Reader is required)

Full Name:	First Name Middle Name Last Name
Gender:
Street/P.O. Box:
City:
State:
Zip:
Country:
Primary Phone:
Secondary Phone:
E-mail address:
Age:
Date of Birth:	Month: Day: Year: (MM/DD/YY)
In case of emergency,
please contact:	First name Last name Relationship
Street/P.O.Box:
City:
State:
Zip:
Primary Phone:
Secondary Phone:

Briefly describe your educational background:

Current Employment:

Personal References: Please submit two personal references

Previous Experience and/or study in massage or other health-related fields:

How are you planning to fund this course of study?

Have you ever been convicted of a criminal offense?

If yes, please explain. Do not include traffic violations.

How did you hear about our school?

Online

Where on the web (please give URL if possible)?

Word of Mouth

Touchstone website

Newspaper

Which one?

Radio

Other

Please specify:

PLEASE TELL US:
What would be your anticipated date of entry at Touchstone?

Year:

Additional questions, inquiries and comments:

Now please tell us about yourself, answer the following questions.

1. How did you become interested in and why do you want to study massage?

2. What are your personal/professional goals involving massage therapy?

3. Why did you choose Touchstone Healing Arts and what are your expectations of the program?

4. Describe your current level of wellness and lifestyle (health, diet, sleep, stress, etc), and include a statement of your physical ability to perform massage practitioner skills.

5. To best support you in school, think about the following and describe any challenges or blocks you may have: being vulnerable; opening to others; leadership/responsibility; constructive criticism; past issues around touch; balancing school life with other parts of your life; difficulties in reading, writing, language comprehension or study skills.

6. Please feel free to add any other information about yourself--previous training, hobbies, interests, etc.

Touchstone Healing Arts is a non-degree granting institution; any 'credits' earned are transferrable only at the discretion of the receiving school.

May you never be the same again!

Mark Adams & Niko Pruesse
Co-Founders

All of the information provided is true to the best of my knowledge