A Maine Massage School

Serving the Greater Maine Area

Application Form

Therapeutic Bodywork Learning Center

141 North Main Street, Suite 306, Brewer, Maine 04412

A $25 non-refundable Application Fee, an Essay, and a head shot picture of yourself must accompany this Application

Application Form

About

Name
Name
First
Last
Address
Address
City
State/Province
Zip/Postal
Country

Employment

Are you currently employed?

Education

Do you have a:
Previous study in Massage or healthcare?

Health

Do you believe you are currently physically capable of performing massage/ bodywork therapy?

Criminal History

Have you ever been convicted of a felony or misdemeanor, other than traffic offenses, within the past five years?

Essay, please answer the following questions

Have you ever received a professional massage/ bodywork session before?

Headshot

Maximum file size: 134.22MB

Signature

Your Signature below certifies: That all the information on this application is true and correct to the best of your knowledge. Falsifying information on this application will be considered cause for dismissal from this program without refund of any monies paid. You, the potential student, understand that before you can be formally enrolled in any Therapeutic Bodywork Learning Center, LLC (TBLC) program, you will need to have a phone or personal interview, sign an Enrollment Agreement and pay a $100 Enrollment Fee.

Please make checks or money orders out to: Therapeutic Bodywork Learning Center To make a different form of payment give Suzanne a call (credit, debit and venmo are options)

PLEASE SEND YOUR APPLICATION, PICTURE, FEE & ESSAY TO: Suzanne Philp 195 Downing Road, Exeter Maine 04435 You can call or text Suzanne at 207-951-3584 or email at tblc.sphilp@gmail.com with any questions or concerns at any time.