Calgary Student Application Form

This application form must be filled out completely and accurately in order to be conditionally approved for entrance into the Institute. You will be fully approved upon the reception of educational verification noted below and payment of the tuition deposit.

First Name:*

Last Name:*

Address:*

Address2:

City:*

Province/State:*

Postal/ZipCode:*

Country:*

E-Mail:*

Home Phone:*

How did you hear about us?*

Program Selection

Choose from our Weekend or Weekday Programs. If you want to transfer from another program after one year, please select the bottom option

Program Delivery*

Program:*

Desired Start Date*

All of our programs are considered full-time for student loan purposes.

If you are transferring from another Institution after attending at least 1,000 Hours, please choose the "Year 2 of 2" option. We will require verification of successful completion of at least 1,000 hours in order to go directly to Year 2.

Level of Education*

What We Will Require to Verify Your Education

In order to accept you we will require sufficient documentation. This will require you to provide us with a copy of transcripts, diploma or degree. We will instruct you to send us those documents upon receiving.

Documents 1

Please using meaningful name as files name.
The file name such as 'image', 'file', 'doc', 'document' will not be processed.

I am an International Student Requiring a Study Permit

Yes

No

I acknowledge that I have read and understand all of the above. I understand that my $50.00 tuition deposit is credited towards my total tuition. This fee is collected in accordance to Section 14 of the Regulations*

Yes, I acknowledge

Payamount*

$50.00

By submitting this form, I agree that Professional Institute of Massage Therapy may call, text and/or email me about their educational services