EFTA02444278

4t Hawaii Healing Arts College MEW School of Massage Therapy S Initial Application for Admission Namc: L._ I Address: City, State, Zip code: Date of Birth: Telephone: Date of Application: Citizenship: (Home) (Work) Email Address: ClaSS applying for: u Spring Intenshe '09 (5/4/09 Mon-Fri) U Summer '09 (8/8/09 Toes, Thurs, Sat.) U Fall Intensive '09 (9/14/09 Mon-Fri) Personal References: I) Name (non-relative): Email Address: Telephone: ( I lome) 2) Name (non-relative): Email Address: Telephone: (I lome) Your Occupation: How long at this job? Your Employer: History of Education: High School: Colleges: (Name) (Cell) (Work) (Cell) (Work) (Name) (Name) (Arkire,..) (Phone) (City. State) (Graduation Date) (City. State) (emanation Date) Why do you want to become a Massage Therapist? How do you plan to pay for school? El Personal (Upfront Payment in Full) El Sallie Mae ID Veterans Affairs GI Bill O Scholarship/Grant (*HHAC does not provide any scholarships or grants: Each student is responsible for securing own finances) How did you know about Hawaii Healing Arts College? EI [ILIAC Web Site El Natural Healers O Other: EFTA_R1_01520691 EFTA02444278 Enclose $300 non refundable application fee Application deadline is due 5 weeks prior to the first day of class. .N..lii; i ku ntn'Lt "Strive for the Hi9kest" EFTA_R1_01520692 EFTA02444279