top-rounds.jpg
Home » Application

Application

The online application is a two step process:

  1. Fill out the Application Form below and click submit.
  2. You will be taken to the payment page to choose your payment option. There is a $50 application fee.

 

Personal Information
Full Legal Name:

 * required
Maiden Name:

Address:

 * required
City:

 * required
State:

 * required
Zip:

 * required
Home Phone:

 * required
Cell Phone:

Other Phone:

E-mail:

 * required
Gender:

Male

Female
Date of Birth:

 * required
Place of Birth:

 * required
Emergency Contact Information
Name:

 * required
Relationship:

 * required
Phone:

 * required
Program Applied For
Choose One

Morning

Afternoon

Night
How did you hear about Georgia Massage School?
Please be specific

Highest Level of Education
Choose One

High School

GED

Some College

College Degree

Advanced Degree
Have you ever been convicted of a crime?

 Yes

 No

 If yes, explain number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offenses were committed, sentence(s) imposed and types of rehabilitation.

Note: No applicant will be denied admission solely on the grounds of conviction of a criminal offense. The date of the offense, the nature of the offense, including any significant details that affect the description of the event, and the surrounding circumstances may, however, be considered.