New Inspirit School of Healing Arts Online Application

Inspirit School of Healing Arts (Under Implementation)

7575 Kingspointe Parkway Suite #21, Orlando, FL 32819

Inspirit School of Healing Arts Online Application

First Name

Last Name

Cell Phone

Home Phone

Street

City

State/Province

Zip/Postcode

Country

Birth Date

Social Security No

Program

Payment Method

Current Employment

Name of Employer

Employer Phone

Position/Title

Length of Employment

Education

Last Attended Academic Institution

Institution Address

Year of Graduation

The Registration Fee must accompany these additional requirements:

Valid driver’s license or Government ID

High School Diploma, GED or Transcripts

Background Check Notification

Agree

Criminal Background Disclosure: I am fully aware that I may not be able to obtain a massage therapy license by the State of Florida if I have criminal background.

I state that the information provided on this application is true. I understand that any false information contained here will be grounds for dismissal from the program.

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