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Online Application for Massage and Polarity Programs To submit your application online, please fill out the form below. Please answer all questions completely. Also needed is a current resume, photo, college transcript or proof of high school diploma or GED, 2 letters of recommendation and $75 processing fee (which you can mail to us or pay by credit card over the phone.) If you are having trouble sending this form, please try a more updated version of the browser you are using or try a different browser. Or, you can call us toll-free at 888-808-5188. You can also request an application form and information packet be mailed to you by clicking here. If you prefer, you are also welcome to type up your answers in essay format and mail or e-mail them to us: New Mexico Academy of Healing Arts
DATE (Month/day/year)
E-MAIL
ADDRESS (CURRENT)
ADDRESS (PERMANENT)
DAY PHONE
EVE. PHONE
AGE
IN CASE OF EMERGENCY, CONTACT: (NAME & PHONE # OF PERSON)
HOW DID YOU FIND OUT ABOUT THE ACADEMY?
WHY HAVE YOU CHOSEN TO STUDY AT THE ACADEMY?
DIPLOMA PROGRAM(S) YOU ARE APPLYING TO?
PROGRAM DATES
What previous formal/informal education have you had? How did these learning experiences serve you? How do you learn best?
How would you describe your emotional and physical readiness to engage with the Academy's learning process?
What interpersonal skills do you bring to the Academy?
How do you practice self-care? What areas would you like to focus on improving? Where would you like to be supported in your current self-care practices that work for you?
How do you plan to care for yourself financially while you are in school? How do you plan to meet your tuition requirements? Please be specific.
What is your vision of yourself as a healing arts practitioner?
How do you resolve conflict in your life?
BRIEFLY DESCRIBE: Previous massage and/or polarity training or experience.
Your professional goals as they relate to this program.
Your experience with counseling/therapy.
Any experience with mindfulness and/or meditation practices.
If either of the following apply to you, please explain: A) conviction of felony B) lack of high school diploma or GED.
ASSESS YOUR HEALTH: List any medications taken regularly or currently.
Do you have any physical limitations?
Do you have any learning disabilities?
Have you ever been treated for any mental or emotional disorders?
Are you presently receiving treatment for any reason? Describe treatment and doctor/therapist.
Have you had any injuries due to accidents or sports?
Thank you for your application! Please click the submit button only once.
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©2006 New Mexico Academy of Healing Arts  All Rights Reserved/Terms of Use Call us at 1-888-808-5188, or e-mail us at info@nmhealingarts.org for more information. If you cannot view our PDFs, your browser may not have a PDF viewer plug-in. You can download Adobe Acrobat reader for free by clicking here.
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