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Application for Admissions

You can submit this form online or download a copy to fill out and either mail it in or Fax it to us at (518) 489-0522.

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Program:
Fall (Full Time) Spring (Full Time)
Fall (Part Time Evening) Spring (Part Time Evening)
Fall (Part Time Morning) Spring (Part Time Morning)

Program Year :

Please complete this application and submit to us along with a recent photograph and a $50.00 non-refundable application fee (payable to the CNW School of Massage Therapy). Please read instructions carefully and complete all questions. This application cannot be processed if questions are left unanswered. Upon receipt of this application, we will contact you to arrange an interview. Class size is limited and enrollment closes when classes are full. Serious applicants are encouraged to complete their application as soon as possible.

Please note to place your cursor over red titles for further instructions on entering your data.

General Information
First Name: Middle Initial: Last Name:
Street Address:
City: State:

Zip Code:
Home Phone: Work Phone  
E-Mail:
Date of Birth: Age:    
Social Security Number:      
Are you a citizen of the U.S.?   Yes No  

Have you ever been convicted of a felony or misdemeanor (excluding traffic violations)? 
Yes No

If yes, please explain:

How did you find out about us?

 

Emergency Contact Identify two (2) people to be contacted in case of an emergency:
1. First Name: Last Name:
  Relationship:    
  Home Phone Work Phone
2. First Name: Last Name:
  Relationship:    
  Home Phone Work Phone

 

Education Please submit your high school or college transcript with this application, or forward it to the School’s Admissions Office. 
High School Name and Address:
Dates Attended: From: To: Date Graduated:
If not a High School Graduate did you obtain a GED? 
College/Vocational School Name and Address:
Dates Attended: From: To: Date Graduated:
Degree Earned:
Did you receive Financial Aid?

 

Medical Information Describe any disability, physical condition, medical condition and/or psychological condition that may require special accommodations or inhibit your ability to perform massage (Specify medications you are taking and check all the conditions that apply.):
Cardiac or Circulatory Problems
Diabetes
Broken Bones
High Blood Pressure
Low Blood Pressure
Epilepsy
Recent Surgeries
Other: (Specify)

 

Personal Statement In the space below write a short essay discussing your professional goals, and the role of the CNW School of Massage Therapy in achieving these goals.

 

Essay Questions In the spaces provided below please write a short essay answering each of the questions posed below:
 
How did you become interested in the field of massage therapy? What are your career goals involving massage therapy and how do you plan to achieve them?
 
Describe how you have been best served by your learning experiences, both formal and informal? How do you learn best? Do you have any learning disabilities or special needs?
 
How would you describe your emotional and physical readiness to engage with the School’s learning process? Discuss both strengths and weaknesses.
 
An intensive program in massage therapy may bring personal issues to the surface. How do you practice self-care in your physical, emotional, and spiritual life? What support you and will you be able to continue this process of self-care while attending this program? Can you identify areas that need more focus or improvement?
 
Describe your experience with meditation and/or mindfulness practices.
 
How do you resolve conflict in your life?
 
How do you plan to meet your tuition requirements and take care of yourself financially while you attend school? Please be specific.

 

References Identify three (3) people who we can contact regarding your moral character and ability to pursue a career in Massage Therapy. Please submit three (3) letters of reference by mail from these individuals as well. Download form here.
1.) First Name: Last Name Phone:
Address:
City: State: Zip:
2.) First Name: Last Name: Phone:
Address:
City: State: Zip:
3.) First Name: Last Name: Phone:
Address:
City: State: Zip:
             

 

Send us: We will need the following items to complete your application. Please fax (518.489.0522) or mail (via U.S. Postal Service) the following items to us:

Our address is:

Center for Natural Wellness
School of Massage Therapy
3 Cerone Commercial Dr.
Albany, NY 12205
  • Recent Photograph
  • Educational Transcripts
  • Three Letters of Reference
  • Proof of Having Two Massages
    • Please submit documentation of having received two (2) massage treatments from Licensed Massage Therapists. A copy of a signed receipt from a massage therapist or a short written note from a massage therapist is considered acceptable documentation.
  • $50 application Fee

 

Signature – I hereby state that the information provided in this application is truthful, and I understand that providing false information can result in dismissal from the program.

Applicant’s Signature   Date

The CNW School of Massage Therapy offers equal opportunity, and does not discriminate on the basis of age, color, religion, creed, disability, marital status, race, sex, or sexual orientation.

 
 
   
© 2010 The Center for Natural Wellness Administrative Office: (518) 489-4026 | Student Massage Clinic: (518) 489-4068 | Fax: (518) 489-0522