Apply Now!

Please complete this application form to apply for our medical massage program.

You will be notified to the email account you include below of our decision.

Thank you for interest!

First Name

Last Name

Email Address

Phone Number

Street Address

City

Zip Code

Sex

Do you usually finish what you start?

If accepted, are there any obstacles that preclude you from starting school? If yes, what are they?

Are there any obstacles foreseen that may prevent you from completing the program?

Do you have reliable transportation?

Do you have dependable child care (if applicable)?

How do you plan on paying for school?

If your parents are paying for this program, please provide their contact info below:

Parent Name

Parent Phone Number

Please provide three reasons why you feel training at AIMM would benefit you.

Please provide three reasons you want to become a medical massage therapist.

What type of place of employment do you envision yourself in following your graduation?

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