Licensed Massage Therapist Independent Contractor Pre-Application

Complete the form below to initiate the hiring steps to be employed with Total Body Mobile Massage.

Full Name

Phone

Address

Do You Have Reliable Transportation?

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Do You Have Current/Active Car Insurance?

YesNo

Professional Liability Insurance

YesNo

If So, Enter The Name Of The Insurance Provider:

How Long Have You Been A LMT?

Massage License Number

Resume Upload

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Driver's License Upload

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Professional Liability Insurance Upload

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Active Car Insurance Upload

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Massage License Upload

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Please avoid sharing sensitive data such as passwords or credit card info in this form. This is not a secure login or billing page to share that data.

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