Medical History Do you have any medical conditions that may influence your ability to complete your massage therapy training or that may affect you in the future as a massage practitioner? (These conditions may include, but are not limited to: surgeries, injuries, diseases or psychological disorders. ) * If yes, please explain: * Do you have any learning differences that we should be aware of to help ensure your success in ASHA’s training program? * If yes, please explain: * Are you currently taking any medications? * Please list any medications you are currently taking: * If yes, expected date of delivery: * Criminal History Have you ever been convicted of a felony or misdemeanor other than traffic offenses? * If yes, please explain the situation to the best of your ability. Please note: This information is confidential and will not necessarily hinder you from receiving a New Mexico State massage license. * Massage Therapy licensure requires background checks. If you agree to attend ASHA as a massage therapy student, do you agree to a background check? * Comments: Background
We’d like to get to know you and learn about your background. Please answer the following questions in either essay or short answer format.
1. What are your personal and professional goals for your ASHA training program? * 2. This course requires students to evaluate, observe, and work into the deeper self. How well do you work through your own emotions, feelings, and judgements? * 3. What is your background with massage and/or the healing arts? If you’ve been trained in other modalities we’d love to know about that. * 4. Have you ever received a professional Swedish massage? If so, please tell us about a massage that you received in the last year or two. Describe the environment of the session and tell us about your experience of the massage in terms of its effect on your body, state of mind and emotional response. * 5. What drew you to pursue massage therapy as a profession and the ASHA Holistic Massage Therapy training program in particular? * ASHA Admission Requirements Must submit formal application packet Must successfully pass entrance interview Must receive an ASHA School Tour (live or virtual) Must be 18 years of age Must hold a High School Diploma or GED equivalent Applicants are evaluated without discrimination on the basis of age, gender, race ethnic origin, creed, sexual preference or disability
Please note: The fee associated with this application is non-refundable. If a student is accepted and enrolled, the fee will be applied toward tuition. An ASHA representative will call to schedule a school interview when all completed application materials have been received.
In signing this form, I certify that the statements I have made in this application are complete and true to the best of my knowledge. I acknowledge that it is my responsibility to be aware of all pertinent admission and application requirements and I have been provided with the entire application packet required by ASHA for admission into its program. I acknowledge that failure to disclose complete and accurate information, or failure to submit all required application materials may result in the denial of admission or subsequent dismissal from Albuquerque School of Healing Arts.
I understand that my application is incomplete without my signature below and that, in order to be considered, my complete application must be signed and submitted prior to the application deadline.
Application Fee *