Application for Black Brook School of Massage

Begin your journey to Create your Future with Us.   Please fill out the application if you would like to attend one of our next classes.
To ensure proper consideration, please fill in the information below as completely and accurately as possible.
After your application is received you will have an interview with the director of the school.  This interview will ensure that you have all of your questions answered and all of your responsibilities have been explained.

Personal Information

Are you a citizen of the United States? *
Do you have a High School Diploma or GED? *
Have you ever attended massage school in the past?
Have you ever been convicted of a felony?
I understand that the State Of Arkansas Department of Health requires the following before I can apply for my Arkansas massage license: 1. Must be 18 years of age or older. 2. Must have a high school diploma or college transcript that can be submitted. 3. Must be a US citizen or have a green card. 4. Must Complete a background check (As of Aug 1st, 2023 this will be needed before the start of class). *
Employer 1
May we contact?


Which days of the week are best for you to attend class? Pick only Wednesday/Thursday OR Saturday and Sunday. *

Confidential and Personal information

Practicing massage therapy requires physical stamina and flexibility. Practitioners are required to stand for long periods of time - 1 1/2 hours, have strong flexible joints, (wrists, elbows, ankles, and knees) and sit comfortably. We ask that you inform us of any physical issues you have that require special accommodations. Medical Conditions: (Please check all the medical conditions occurring currently or within the last two years.
Is there any aspect of your personality that you feel needs improvement? *
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