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Massage Therapy Application - Lake Land College, Mattoon Illinois

Massage Therapy Application

Please make sure you fill out everything under the Personal Information, Education, and Declaration of Intent headers BEFORE you click the submit button that is located under the Declaration of Intent.

Personal Information
Please indicate which program and start year
Fall Year:
Full Name:
Address:
City/State/Zip:
Phone:
Email:
Birthdate:
Community College District of Residence:
Education
High School Graduation Date:
 
Colleges (if applicable)
College Name:
Major:
Dates:
Degree Earned:

College Name:
Major:
Dates:
Degree Earned:

College Name:
Major:
Dates:
Degree Earned:

College Name:
Major:
Dates:
Degree Earned:
Declaration of Intent
YOU MUST UNDERSTAND THAT:

  • This application does not mean admission to the program.

  • There is no waiting list from year to year. You must contact the Program Secretary at the Kluthe Center to advance your file to the next year.

  • It is your responsibility to see that your file is complete before the July 1 deadline.

  • You will be asked to work on one another and expected to play the role of a patient during labs.  Hands on demonstrations are required by instructor/student and student/student.


PROGRAM RESPONSIBILITIES AND STANDARDS

  • Student must maintain ā€œCā€ or above in ALL course work once admitted to the Massage Therapy program and maintain a 2.0 GPA in the Program.

  • Student must progress through courses corresponding to the curriculum model once admitted to the Massage Therapy program.

  • Student must sign the statement of understanding and compliance with confidentiality of client information.

  • Student must maintain professional standards of health.

  • Student attendance in all classes, labs and clinics is mandatory.


Students not adhering to these responsibilities and standards will be removed from the program.

Program dismissal may be appealed by initiating the request through the Program Coordinator.

I have read and understand the above statements and accept the responsibilities and standards listed.


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