Application Process

Step 1. Please fill in and submit the following application form. The information you provide will be used to contact candidates for further processing.

Step 2. A non-refundable fee of $50 CAD is charged per application. Upon completion of Step 1, you must click the button to take you to a secure PayPal payment form. You my sign in to your PayPal account, or use any credit card to make the payment. If you have difficulty using PayPal, please contact the Administrator to make alternate payment arrangements.

Program of Interest

Advanced Massage Therapy Diploma (2,200 hours)

September start:

January start:

Sport Training and Therapy Diploma:

Personal Data

First Name:

Last Name:

Email Address:

Permanent Mailing Address:

City/Town:

Province:

Postal Code:

Telephone (Day):

Telephone (Evening):

Date of Birth:

Sex: Male Female

Education Data

Secondary School:

Secondary School City/Town:

Last Grade Completed:

Years of Attendance:

Post Secondary Institution:

Post Secondary City/Town:

Degree, Diploma, or Certificate completed:

Employment History

Please list your occupations in the past two years, beginning with your most recent.

Most recent employer

Occupation :

Employer :

Contact Person :

Telephone Number :

2nd most recent employer

Occupation :

Employer :

Contact Person :

Telephone Number :

3rd most recent employer

Occupation :

Employer :

Contact Person :

Telephone Number :

4th most recent employer

Occupation :

Employer :

Contact Person :

Telephone Number :

By pressing Submit you release your information to the Professional Institute of Massage Therapy.

Questionnaire

(For Massage Therapy Applicants only):

1. Why do you want to become a massage therapist?

2. What are your expectations of yourself as a student?

3. What are your expectations of our program?

4. What do you personally have to offer the career of massage therapy?

5. What massage experiences do you have?

6. What role should massage therapy play the health care field?