LMT Application Form

Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Do you have a current license to practice Massage Therapy in the state of MA?*
What year were you licensed?*
What school did you receive your Massage Therapy Certification from and what year did you graduate?*
Please provide a brief work history for the previous 5 years.*
What interests you about joining the Saltwater Massage Studio Massage Team?*
How would you describe your Massage Therapy Style?*
Which of these modalities do you have experience offering? (check all that apply)

Hot StonesCuppingDeep Tissue MassageBody Scrubs or other Body TreatmentsReikiReflexologyThai MassageOther
How many shifts per week are you looking to work? (check one)

3 shifts4 shifts5 shifts
Weekday Availability (check all that apply)*

Monday 8-2Monday 2:30 - 8:30Tuesday 8-2Wednesday 8-2Wednesday 2:30 - 8:30Thursday 8-2Thursday 2:30 - 8:30Friday 8-2
Weekend Availability (check all that apply)*

Saturday 8-1:30Saturday 2-8
Thank you!
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