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Have you read ALL of the most current version of the California Massage Therapy Council’s (“CAMTC’s”) Policies and Procedures for Approval of Schools?

PLEASE READ the most current version of CAMTC’s Policies and Procedures for Approval of Schools before continuing the application process. Providing incomplete or misleading information to CAMTC may result in processing delays, denial of your application for school approval, disciplinary action, revocation of school approval, or additional processing fees.

(The Yes button is enabled only after you have clicked on the Policies and Procedures for Approval of Schools link above and read them.)

I have read the instructions. School Information

2. School Details :

School Name :
School Telephone :	Mobile
School Website :

3. Previous School's Names (if any) :

Previous School Information

Previous School Name :
Date of Name Change :

4. School Address :

Street :
City :	State :	Zip :

Street :

City :

State :

Zip :

Street :

City :

State :

Zip :

This is not a verified address

5. Previous Address (if any) :

School Previous Address

Street :
City :	State :	Zip :

Street :

City :

State :

Zip :

Street :

City :

State :

Zip :

This is not a verified address

6. Mailing Address (if different from school address) :

Street :
City :	State :	Zip :

Street :

City :

State :

Zip :

Street :

City :

State :

Zip :

This is not a verified address

7. Director/Administrator Name & Job Title :

First Name :	Last Name :
Administrator Email :
Job Title :
Primary Number :	Mobile
Secondary Number :	Mobile

8. Contact Name for this Application & Job Title (if different than Director/Administrator Name & Job Title) :

First Name :	Last Name :
Contact Email :
Job Title :
Primary Number :	Mobile
Secondary Number :	Mobile

9. Satellite Location Address (if any) :

Satellite Location Address

Street :
City :	State :	Zip :

Street :

City :

State :

Zip :

Street :

City :

State :

Zip :

This is not a verified address

9. MBLEx Scroes (if any) :

MBLEx Passing Rates

Passing Rate :

Year :

Half :

10. Site Visits (if any) :

Site Visit Date :
Type of Site Visit :
Site Inspector :
Site Visit Documents
Document Name :	Document Type :
Other Document Type :
Document :

School Eligibility

Add Approval Agency

Approval/Accrediting Agency :	Agency School Code # :
Expiration Date :

Approval Agency Supporting Documentation

Add Additional Approval Agency

Approval/Accrediting Agency :	Agency School Code # :
Expiration Date :

Approval Agency Supporting Documentation

Add Massage Program Name

Massage Program Name :

Total Number of Program Hours :

About the School

Please list the TOTAL number of graduates from ALL massage programs for which the school seeks approval. Do not include continuing education classes or other programs. Put “0” if the program is new or had no graduates.

Estimated Graduates for 2016 Calendar Year :

Graduates from 2015 Calendar Year :

Graduates from 2014 Calendar Year :

Graduates from 2013 Calendar Year :

Graduates from 2012 Calendar Year :

Graduates from 2011 Calendar Year :

Graduates from 2010 Calendar Year :

Graduates from 2009 Calendar Year :

11. Type of Business Organization

Please provide all documents, as directed by the Policies and Procedures for Approval of Schools, that support Proof of Ownership.

Please provide all documents, as directed by the Policies and Procedures for Approval of Schools, that support Proof of Business Operations.

If this school or campus shares its name, address, and/or ownership with another school(s), please list (NOTE: each campus seeking CAMTC school approval must submit a separate application).

Street :

City :

State :

Zip :

Street :

City :

State :

Zip :

This is not a verified address

If this school offers educational program(s) other than massage, please list.

Other Program Name :

16. Facility

Please provide copies of all advertising.

Transcript

A sample transcript with no additional markings must be provided. Per CAMTC’s Policies and Procedures for Approval of Schools, transcripts should include at minimum :

School name, address, telephone number, website, and CAMTC School Approval Code (once approved), which shall exactly match information on file at CAMTC.
Heading entitled “Official Transcript.”
Student’s full legal name and date of birth.
Date student started program and date student graduated or, for programs longer than 500 hours, completed CAMTC requirements, if applicable.
Breakdown of courses completed with total number of supervised clock hours attended and passing grades for each course. Courses shall match those listed in the provided syllabi and program hour requirement worksheet (included with application).
Total number of supervised clock hours attended for massage program.
At least one authorized signature with printed name, title, and date.
Official school seal affixed, embossed, or otherwise attached to transcript.
Sufficient security measures that uniquely identify the school’s transcripts.

Transcripts from public colleges or universities of the California state higher education system, as defined in section 100850 of the Education Code, shall meet or exceed standards as determined by governing laws and regulations.

19. Sample transcript with highlights and descriptions of unique security measures:

20. Massage program addendum, if any.

21. Signatures, printed names, and titles for all approved signers.

First Name :	Last Name :
Title :

22. Sample diploma (NOTE: Diplomas are not accepted in lieu of transcripts as proof of education).

23. Sample envelope (front and back) from the school in which transcripts will be mailed to CAMTC.

Enrollment Agreement

A blank enrollment agreement must be provided. Per CAMTC’s Policies and Procedures for Approval of Schools, enrollment agreements should include at minimum :

School name, address, additional addresses where classes will be held, telephone number, and website.
Student’s full legal name, date of birth, address, email, telephone number, and signature.
Copy of a current valid government issued photographic identification.
Title of massage program and total scheduled number of supervised hours received upon completion.
Program schedule with start date and scheduled completion date.
All scheduled charges and fees including, as applicable: tuition, registration fee, equipment, lab supplies, textbooks, educational materials, uniforms, charges paid to an entity other than the school as required by the program, and any other charge or fee.
Scheduled payment terms.
Clearly visible disclosure statement: “Attendance and/or graduation from a California Massage Therapy Council approved school does not guarantee certification by CAMTC. Applicants for certification shall meet all requirements as listed in California Business and Professions Code sections 4600 et. seq.”
Statement directing students to CAMTC for unanswered questions and for filing a complaint: “A student or any member of the public with questions that have not been satisfactorily answered by the school or who would like to file a complaint about this school may contact the California Massage Therapy Council at: One Capitol Mall, Suite 800, Sacramento, CA 95814, www.camtc.org, phone (916) 669-5336, or fax (916) 669-5337.”

Note: Enrollment agreements from public colleges or universities of the California state higher education system, as defined in section 100850 of the Education Code, and public schools accredited by an agency recognized by the United States Department of Education shall meet or exceed standards as determined by governing laws and regulations.

Course Catalog

A Current course catalog must be provided. Per CAMTC’s Policies and Procedures for Approval of Schools, course catalogs should include at minimum :

School name, address, additional addresses where classes will be held, telephone number, website, and CAMTC School Approval Code (once approved).
Date printed/revised.
Title of massage program(s) and total number of scheduled supervised hours received upon completion.
Program prerequisites, including but not limited to admission requirements, previous training, and language comprehension skills.
Completion and graduation requirements, including but not limited to clock hours to attend, assignments to complete, and assessments to pass.
Transfer credit policy.
Attendance and leave of absence policies.
Hygiene, dress code, and draping policies.
If the school admits foreign or ESL students, the catalog shall contain language proficiency information, including the level of English language proficiency required of students and the kind of documentation of proficiency that will be accepted; and whether English language services are provided and, if so, the nature of the service and its cost. The catalog shall also identify whether any instruction will occur in a language other than English and, if so, identify the other language(s) instruction will be provided in, the level of English proficiency required, and the kind of documentation of proficiency that will be accepted.
Publication of CAMTC’s Law related to unfair business practices as related to massage.
Clearly visible disclosure statement: “Attendance and/or graduation from a California Massage Therapy Council approved school does not guarantee certification by CAMTC. Applicants for certification shall meet all requirements as listed in California Business and Professions Code section 4600 et. seq.”
Statement directing students to CAMTC for unanswered questions and for filing a complaint: “A student or any member of the public with questions that have not been satisfactorily answered by the school or who would like to file a complaint about this school may contact the California Massage Therapy Council at One Capitol Mall, Suite 800, Sacramento, CA 95814, www.camtc.org, phone (916) 669-5336, or fax (916) 669-5337.”

Curriculum 28. Curriculum.

Please indicate which classes or subjects fulfill the minimum core educational requirements as set forth in CAMTC’s Policies and Procedures for Approval of Schools :

Courses that Fulfill Requirements

Course Title :

No. of Hours :

Maximum number of clinic hours cannot exceed 75 hours.

30. Curriculum Supporting Documentation :