Remedy Professional Pathway Application Spring 2025 Please enable JavaScript in your browser to complete this form.Section 1: Personal InformationName *FirstLastEmail *PhoneAddressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeSection 2: Education & TrainingWhere did you go to massage school?When did you graduate (or when will you)? What was your area of focus (if any)?What is the highest level of education completed?High SchoolSome CollegeAssociate’s DegreeBachelor’s DegreeGraduate DegreeOther Section 3: Professional ReadinessDo you currently hold massage insurance?YesNoClick here to start the process: LINK When do you anticipate being licensed?Do you have a current MassageBook account?YesNoSection 4: Passion & PurposeWhy did you become a massage therapist? What motivates you? What is your most memorable client moment?Describe massage therapy in one word. all licensed? is What areas of massage are you most passionate about?Injury RecoverySports MassageChronic Pain ManagementStress ReliefMobility & MovementGeriatric CareOther (Please specify below)Other: Section 5: AvailabilityCheck all times you would be available to work: Monday 8am–1pmMonday 2pm–8pmWednesday 2pm–8pmFriday 2pm–8pmSaturday 2pm–8pmSunday 8am–1pmSunday 2pm–8pmSection 6: Optional but EncouragedPlease upload a recent photo (for internal use only) Click or drag a file to this area to upload. Tell us one fun fact about you!Where did you hear about Remedy Professional Pathway?Word of MouthSocial MediaA Current Therapist at The RemedyMassage SchoolOtherSubmit
