Now Hiring Company First Name * Last Name * Email Address * Phone * Are you legally authorized to work in the United States? * yes no Do you currently hold a Utah Massage Therapy license? * yes no Are you currently insured? * yes no Education Name of school where you completed your initial massage training for licensure * Month/Year Graduated * List all additional certifications and year completed * Experience Please list all previous massage therapy experience including dates of employment and whether you worked as an employee or IC (Independent Contractor). * What have you learned from previous job experiences? * Have you ever collected payment and rescheduled clients? Describe. * Modalities What modalities are you certified in? * What modalities have you studied and practiced to proficiency (but don't hold a certification)? * List your preferred modalities in order of preference. * Do you include energy work routinely in your massage? If so, which energy modality/ies? * How do you describe yourself as a massage therapist? * Please rate your proficiency in the following areas. Hot Stones * Proficient Could use more practice/training Never performed regularly Body Scrub * Proficient Could use more practice/training Never performed regularly Hot Packs/Towels * Proficient Could use more practice/training Never performed regularly Cupping * Proficient Could use more practice/training Never performed regularly Essential Oils * Proficient Could use more practice/training Never performed regularly Scalp Massage * Proficient Could use more practice/training Never performed regularly Body Brushing * Proficient Could use more practice/training Never performed regularly Preferred Work Hours Please indicate your preferences * Part Time (less than 20 massages/week) Full Time (20+ massages/week) If part time, when are you available to work? Are you flexible to discuss? If full time, when are you available to work? Day Shift (8:00 am - 2:00 pm) Evening Shift (2:00 pm - 8:00 pm) Comments Finalize By typing your name in the box below, you are acknowledging that Ogden Massage for Pain Relief may conduct a background check on you and may call previous employers to ask about your time there. You are also verifying that all information on this form is true. * Date *
