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Online Application
The application fee for the Indiana Academy of Massage is $100. This fee, which is separate from the tuition, is non-refundable.
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Phone
*
Address
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Occupation
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Are you a United States citizen?
*
Yes
No
If no, are you authorized to learn in the U.S.?
Yes
No
Have you ever attended Massage Therapy school?
*
Yes
No
If so, when?
Have you ever been convicted of a felony?
*
Yes
No
If yes, please explain
Have you ever received professional bodywork?
*
Yes
No
If yes, what types?
Do you have any conditions which may require special attention or affect your ability to give or receive Massage Therapy?
*
Yes
No
If yes, please explain
How did you hear about our program?
*
Education
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Did you graduate
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Degree
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Degree
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Did you graduate
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Degree
Tell Us About Yourself
"Please tell us what inspired you to want to become a massage therapist?
Application Fee Amount
Application Fee
$100.00
Disclaimer
I understand that an application fee of $100 is due upon submission of this application.
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Street Address
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State / Province / Region
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Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
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Denmark
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Dominican Republic
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Egypt
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Equatorial Guinea
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Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
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Guinea
Guinea-Bissau
Guyana
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Heard Island and McDonald Islands
Holy See
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Isle of Man
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Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
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Malaysia
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Mali
Malta
Marshall Islands
Martinique
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Mauritius
Mayotte
Mexico
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Mongolia
Montenegro
Montserrat
Morocco
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Myanmar
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Nepal
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Norfolk Island
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Paraguay
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Philippines
Pitcairn
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Portugal
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Qatar
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Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
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Samoa
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