Application form

 



BRISTOL

COLLEGE of

MASSAGE and

BODYWORK



HOLISTIC MASSAGE: PROFESSIONAL TRAINING COURSE


APPLICATION FORM


Please note this form is to gather information about you and your experience that might be relevant to a professional massage training.  The absence of a particular experience is not a problem and need not deter you from applying.  Continue on a separate sheet if necessary.


NAME:.................................................................................................................... 

ADDRESS:   ........................................................................................................... ................................................................POSTCODE:............................................


TELEPHONE:.........................................................................................................

EMAIL:...................................................................................................................


DATE OF BIRTH: ..................................................................................................

Educational Qualifications: ................................................................................. ...............................................................................................................................

Occupation:...........................................................................................................

Start Date of Course Applied For:............................. Centre: Bristol/Worcester (select)

Why are you interested in this course? ............................................................... ............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................


What special qualities would you bring to the course? ...................................... ...........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................


What, if any, previous knowledge do you have of Anatomy and Physiology?  Give details of any qualifications. ....................................................................... .............................................................................................................................................................................................................................................................................................................................................................................................


What, if any, previous experience do you have of giving massage?  Please give dates of workshops etc.......................................................................................... ............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................


What previous experience do you have of receiving massage or related forms of bodywork (eg shiatsu, Rolfing, zero balancing)?.............................................. ............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................





How do you take care of yourself (eg exercise, Yoga, T’ai Chi, dance)?

............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................


Do you use counselling or psychotherapy to support your personal growth?  Please explain........................................................................................................ ...........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................


Have you suffered any major illness, loss or trauma in the last 2 years?  Please explain........................................................................................................ .............................................................................................................................................................................................................................................................................................................................................................................................


How do you see the massage training contributing to your personal development?........................................................................................................ ............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................

Is there anything else you would like to say about yourself?............................. ...........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................


Signed:........................................................................Date:..................................


Thank you for completing this form.  Please return it to:

For BristolFor Worcester

Andy FaggSarah Cohen

Bristol College of Massage and BodyworkBristol College of Massage and Bodywork

30 Alma Vale RoadPaddington House

CliftonSalters Lane,

Bristol BS8 2HYLower Moor, Worcestershire WR10 2PQ

Tel: 0117 377 1201Tel: 01386 861931

enquiries@bristolmassage.co.uksarah@padibear.demon.co.uk


You will be contacted about an interview in the near future.