Submit your massage therapy job application here! - Well Kneaded Massage, Inc.

Massage Therapist ADVERTISERS Application

To request an INTERIM massage therapist application and agreement,
please e-mail tr@wellkneadedmassage.com.
( * ) Indicates required fields.
*Full name:
*Full address including city,
state & zip code:

Home phone:
*Cell phone:
Office phone:
*E-mail address:
Website address:
*Social security or EIN #:
Drivers license # & issuing state:
Massage Liability Insurance:
Provide company name, ID#
& expiration date:

List your valid massage license(s)
with expiration date(s):

*Have you been convicted of a crime
in the last 10 years?


If you answered yes above,
please explain.

*Please check the modalities
you supply.
























*Please list all cities you
provide mobile services to.
Be very specific.

*Do you have a massage facility?

If yes, please provide
the business name & address.

What type of facility is it?
          
          
          

*Provide us with a few paragraphs about yourself to be listed on your profile:
If possible, attached a
photo for your listing.
If possible, attach a
copy of your photo ID.
If possible, attach a
copy of your Social Security.
If possible, attach a
copy of your massage therapist permit.
If possible, attach a
copy of your liability insurance.
*Please tell us what program you wish to participate in.
        
(LIMITED TIME OFFER - EXPIRES 12/31/2009)

        
        
        
Please check any additional services you wish to purchase:
          
          
          
          

*Credit card #:
*Credit card expiration date:
*Name as it appears on card
& billing address:

*3 work history references:
*3 client references:
*3 personal references:
Additional Comments/Questions:

*By checking the "I Agree" button below & submitting your application, you acknowledge you have read the legal terms listed above in the "Advertisers / Contractors Agreement", you agree to the legal terms and authorize payment to be deducted from the credit card you've provided within.
          

Thank you for submitting your application to Well Kneaded Massage. We look forward to speaking with you soon. If you have not heard back from us within 3 business days, please call our Therapist Relations Department at 1-818-230-5175, option 2 to check the status of your application.

If you were unable to attach the following requested documents, please be sure to fax them to 1-818-230-5175 ASAP to complete your application.

  • Copy of Drivers License or Photo ID
  • Copy of Social Security
  • Copy of your massage therapist area permits
  • Copy of your liability insurance certificate
Upon submitting your application, you will be taken back to our therapists opportunities main page.

Thanks Again!

~ Staff @ Well Kneaded Massage, Inc.

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