Application for Admission

Complete this Application Form and Submit
Upload the required items or mail to:

Massaged Life & Wellness Academy
3518 Loop Road, Tuscaloosa, AL 35404
Tel. +1 205-248-7416

Your Personal Information
Medical History

(If you answer yes to any of the medical history questions, a physician’s release may be required.)

Legal History

(If you answer yes to any of the questions under Legal History, please schedule an appointment with the School Director to discuss your eligibility for licensure before applying for the Program.)

Personal References

Please list information for two references other than family. One reference can be the same as your letter of recommendation.

Admission Short Answer Essays

The purpose of this phase of the application process is for us to get to know each other, using a short essay format. The input that you put into this process will give us an idea of what we can expect of you as a student. Please provide your short answers to the following questions. The topics are Professionalism, Respect, Attire, Hygiene, Participation, Ability to give/receive massage, Study Habits, and Goals.

Registration Checklist
I hereby acknowledge all information stated in this Application (including Item 5: Legal History) is true and correct to the best of my knowledge.