Application

This application is only required for students interested in applying for: Massage, Somatic Polarity, Dual Massage/Somatic Polarity, or Dual Massage/Other Option Program.

If you are interested in attending classes or gaining certification in: Ortho-Bionomy, Craniosacral Therapy, Reflexology, there is no application necessary. Simply call 505 982 6271 ext. 221 or 888 808 5188 ext 221 or email rec@nmhealingarts.org to enroll.

Your Name:

Today's Date:

Date of Birth:

Daytime Phone:

Evening Phone:

Mailing Address:

Email:

Applying For:

Program Date(s):

Country of Citizenship:

In Emergency, Contact:

Emergency Contact Phone:

How did you learn of the Academy?

Internet Friend Alumni Advertisement Other:

Describe your formal/informal education experience. How did this experience serve you?

Describe your emotional & physical readiness to learn at the Academy.

Assess your communication skills- written, verbal & nonverbal.

How do you practice self-care? How would you like to improve? How would you wish to be supported in your current practice?

How do you plan to pay tuition? Housing, food and incidentals? Please be specific.

How do you resolve conflict in your life?

Why have you chosen to study at the Academy?

Briefly describe previous Massage, Polarity and/or other body work training or experience as a client.

Briefly describe your professional goals and how they relate to this program.

Briefly describe your experience as a client of counseling and/or therapy.

If any of these apply, please explain: A Felony Conviction, Lack of High School Diploma or Lack of GED.

Assess Your Health: Are you currently taking prescription medication? Describe.

Do you have any physical limitations? Describe.

Do you have learning difficulties which might require additional support? Describe.

Do you have any physical or emotional conditions that might interfere with fully participating in our educational program? Describe.

Please E-mail or mail the following:

Proof of highest education level (college, high school, GED, or other) and a transcript for that education;
A current resume describing work experience (optional);
Two letters of recommendation; professional or academic from someone you have worked with or studied with in the past two years.

E-Mail to: rec@nmhealingarts.org or
Admissions Office, New Mexico Academy of Healing Arts, 501 Franklin Avenue, Santa Fe, NM 87501