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Royal Canadian College of Massage Therapy Enrollment Application
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Applicant Information
Name of Applicant:
*
Mr
Miss
Mrs
Ms
Date of Birth:
*
Name of Program:
*
Commencing On:
Credential to be awarded upon successful completion of the program:
Mailing Address
Address:
*
City:
*
Province/State:
*
Country:
*
Postal/Zip Code:
*
Phone:
Alternative Phone:
Living Address
Permanent Address:
*
City:
*
Province/State:
*
Country:
*
Postal/Zip Code:
*
Phone:
Email Address:
*
International Students
International Student:
*
Yes
No
Address:
*
City:
*
Province/State:
*
Country:
*
Postal/Zip Code:
*
Location of Practicum (City):
Class Schedule:
Our College is Governed by the Ministry of Ontario, Training Colleges and Universities.
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