We're glad you're here!
We just need a little more information.
Full Legal Name
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First Name
Last Name
Middle Name
Email
*
example@example.com
Phone Number
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Format: (000) 000-0000.
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
You must be at least 18 years of age to enroll in one of our programs. Do you meet this requirement?
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Yes
No
You must have a high school diploma or GED at the time of enrollment. Do you meet this requirement?
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Yes
No
Which program are you interested in?
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Please Select
Fundamentals Program (500 Hours)
Mastery Program (650 Hours) * Licensing Exam Reimbursements available.
Not sure, I need more information.
Do you currently hold a professional license/registration or certification? (Select all that apply)
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Yoga Instructor
Meditation
LIfe Coaching/Counselor
Nutrition Coaching
CNA/Nursing/Medical
None
Other
What is the highest level of education you've completed?
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Please Select
Highschool
Some college
Technical school
Bachelor's Degree
Master's Degree
Other
Do you have reliable transportation and a back-up plan if needed?
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Please Select
Yes
No
Do you foresee any challenges completing the program (e.g., work schedule, childcare, travel, family)?
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Please Select
Yes
No
I've downloaded the catalog and reviewed the technical requirements. I meet all of the requirements.
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Please Select
Yes
No
The current on campus schedule is Monday-Thursday 9:30 AM - 1:30 PM. Are you able to attend this schedule daily?
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Please Select
Yes
No
Some courses are online and require access to the internet, a computer and a printer.
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I do not meet this requirement.
I meet this requirement.
I'll get what I need by start date.
Some courses require presentations in front of a group.
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This make me extremely nervous.
I’m comfortable presenting in front of a group.
I'm shy, but I will do my best.
During the clinical internship portion of your training, your schedule hours will vary, to include evenings, Saturdays and Sundays.
*
Please Select
I am able to complete this portion of the program.
I will make arrangements and complete this portion of the program.
I am not able to complete this portion of the program.
How do you respond when learning something that requires patience and practice? Select one.
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I'm not patient.
I manage well.
I prefer to take my time.
Massage therapy requires physical stamina and emotional presence. How do you care for your own well-being now?
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I would like to improve this area for myself.
I have a self care routine.
I don't really need self care.
How would becoming a massage therapist align with who you are?
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I don't know.
I want to help others and help myself.
I'm exploring my options.
If you do not start massage therapy school now, how will you feel a year from today? Chose the answer that best matches you.
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If it's meant to happen, it will happen.
I would feel that I delayed something meaningful to me. Starting now feels like the right time to move toward the work I feel drawn to.
I think I might feel some regret if I didn’t try, I’d just wait and see if it feels right later.
Let's learn more about you! How do you usually respond to unexpected changes or setbacks
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I tend to feel stuck at first and hope things work out on their own.
I pause, see what I can adjust, and focus on what I can do next.
I feel a bit unsettled at first but try to adjust as I go
I'm ready to enroll _____
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ASAP
After I get more information.
Is there anything else you’d like us to know about your goals?
How did you hear about our school?
*
Please Select
I've received services at Rejuvenate Wellness Clinic.
Online Search
A graduate of Rejuvenate School of Massage
Friend or Family
Facebook
Instagram
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