# Hawaii Healing Arts College

School of Massage Therapy

# Initial Application for Admission

Name: <empty>
Date of Application: <empty>

Address: <empty>
City, State, Zip code: <empty>
Date of Birth: <empty>
Citizenship: <empty>
Telephone: <empty>
(Home)
(Work)
(Cell)
Email Address: <empty>

Class applying for: 
[ ] Spring Intensive ’09 (5/4/09 Mon-Fri)
[ ] Summer ’09 (8/8/09 Tues, Thurs, Sat.)
[ ] Fall Intensive ’09 (9/14/09 Mon-Fri)

# Initial Application for Admission (cont.)

## Personal References:

1) Name (non-relative): <empty>
Email Address: <empty>
Telephone: <empty>
(Home) <empty>
(Work) <empty>
(Cell) <empty>
2) Name (non-relative): <empty>
Email Address: <empty>
Telephone: <empty>
(Home) <empty>
(Work) <empty>
(Cell) <empty>

Your Occupation:
How long at this job?
Your Employer:

# Initial Application for Admission (cont.)

## History  of Education:

(Name)
(Address)
(Phone)

High School: <empty>
(Name) (City, State) (Graduation Date)
Colleges: <empty>
<empty>
(Name) (City, State) (Graduation Date)

Why do you want to become a Massage Therapist?
<empty>

How do you plan to pay for school?
[ ] Personal (Upfront Payment in Full)
[ ] Sallie Mae
[ ] Veterans Affairs GI Bill
[ ] Scholarship/Grant (*HHAC does not provide any scholarships or grants; Each student is responsible for securing own finances)

How did you know about Hawaii Healing Arts College?
[ ] HHAC Web Site
[ ] Natural Healers
[ ] Other:

# Initial Application for Admission (cont.)

## History  of Education: (cont.)

Enclose $300 non refundable application fee
Application deadline is due 5 weeks prior to the first day of class.
Kulia i ka nu'u
"Strive for the Highest"