Island Massage School Application Form

Student application
Thank you for completing the below application to attend the Island Massage School of Roatan! Qualified applicants will be contacted to schedule a video interview. Please note candidates must speak English and must possess a Honduran ID.
Full Name*

First NameLast Name
Preferred Name*
Gender*

MaleFemale
Birth Date

MonthDayYear
Age*
E-mail*
example@example.com
WhatsApp Number*

Area CodePhone Number
Permanent Address*

Street Address

Neighbourhood (ex: West End)

City (ex: Roatan)
Do you have a Honduran ID (Cedula de Identidad)?*

YesNo
Are you fluent in English?*

YesNo
Do you have a Criminal Record?*

YesNo
If yes, please explain
A short description
Education
College
If applicable
High School*

Street Address Line 2

CityState / Province

Postal / Zip Code
Elementary School*

Education