UNM-Taos Massage Therapy Certificate Program
Application Questionnaire
Name
First Name
Last Name
Birth Date
-
Month
-
Day
Year
Date
Gender Pronouns
He,Him,His/She,Her,Hers/They,Them,Theirs
Phone Number
Please enter a valid phone number.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Highest Level of Education to Date (e.g. High school diploma or equivalency, BA, BS, MA etc.)
How did you become interested in massage therapy?
Type a question
There will be reading assignments, tests and other written assignments plus practical exams. Is there any specific educational support you may need while attending UNM-Taos?
As with any health care modality, some conditions may be contraindicated and/or aggravated by practicing massage. Please list any areas of concern that may prevent you from practicing massage.
An intensive program in massage therapy can bring many personal issues to the surface. Since the school does not provide counseling or psychotherapy, it may be important that you begin to consider developing or maintaining a support system. In what ways do you currently find support for yourself and/explore issues of personal growth?
By signing here you are acknowledging your understanding of the rules and regulations set forth for the practice of massage therapy in the state of New Mexico, which are provided in our catalog.
Submit
Should be Empty: