Job Application
Personal information
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Are you legally eligible to work in the United States?
Yes
No
Do you have a valid Texas massage therapy license?
Yes
No
Do you currently carry professional liability insurance?
Yes
No
If yes, Please list the insurance provider
Massage License Number:
Expiration Date:
Education & Training
Massage School Attended:
Graduation Year:
Additional Certifications or Trainings:
Skills & Modalities
Check all that apply
Swedish
Deep tissue
Prenatal
Lymphatic drainage
Sports massage
Thai
Ashiatsu
Trigger point therapy
Myofascial release
Heart stone
Other:
Employment History
(List your last three positions starting with the most recent)
1. Employers Name:
Job Title:
Dates Employed: From-To
2. Employers Name:
Job Title:
Dates Employed: From-To
3. Employers Name:
Job Title:
Dates Employed: From-To
References
(Please list two professional references)
1. Name & Relationship:
Phone Number
Please enter a valid phone number.
2. Name & Relationship:
Phone Number
Please enter a valid phone number.
Availability
What days are you available to work?
Preferred hours
Are you seeking?
Part-Time
Full-Timer
Signature
I clarify that the information provided is true and complete to the best of my knowledge. I understand that false information Ray result in disqualification or termination of employment.
Signature
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