The Radiant School of Massage

Student Enrollment Application

Professional Massage Therapy Education • January 2027

Confidential application

Step 1 of 5

Tell us about yourself

Fields marked with * are required.

Legal first name*Middle nameLegal last name*

Preferred nameDate of birth*Gender (optional)

Citizenship / residency status*

U.S. CitizenPermanent ResidentVisa HolderOther

Identity information may be provided in person

These fields are optional online. You may leave them blank and bring your information to the school office.

Last 4 digits of SSNPhoto ID typeID numberID expiration dateIssuing state / country