Admissions Application - Academy of Health, Inc.
To apply for the Academy of Health Massage Program.  Please complete the information below.

Before your application can be processed you must pay the application fee:

$100 application fee payment which will be applied to your tuition upon acceptance. 

You may pay online at https://checkout.square.site/merchant/QHAVYBN41AFP5/checkout/UZCNYFSEKZNRMIIJXJ6RTWCS

or Venmo @AcademyofHealth

Please contact with any questions:
Dr. Jeffrey Montoya
Jeffrey@AcademyH.org
414-793-4828 (text is best)

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Full Name
Date of Birth
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/
DD
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YYYY
Telephone number
Email address
Mailing address
Are you a Wisconsin resident?
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Do you have an high school diploma or GED?
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List any college or other education, including school name(s), dates attended and any degree(s) earned.
Are you physically capable of performing massage therapy?
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Please list any accommodations you may need (including medical conditions that may prevent you from receiving massage as part of class).
Are you able to understand, read, write and speak English?
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Why do you want to become a massage therapist?
Have you ever been convicted of a felony or misdemeanor?
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If answered yes above, please explain.
I certify that the information I have provided on this application is complete, accurate and true to the best of my knowledge. I understand that providing false information on this application may result in a reversal of the admission decision or expulsion from the program.  Any financial obligation that I have incurred will be my responsibility to pay in full.  I will review the policies and procedures in the school catalogue, and I agree to abide by the content outlined in the catalogue.    Please type your full name in the box below as your digital signature. *
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