National Certification Board for Therapeutic Massage and Bodywork Subject Matter Expert Application

Please complete this application and upload a copy of your resume.

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* 1. Name

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* 2. Address:

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

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* 3. Email

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* 4. Primary Phone

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* 5. Certifications Held

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* 6. Number of years working in the massage therapy profession?

0-3 years

3-5 years

5-7 years

8-10 years

10-15 years

15-20 years

20+ years

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* 7. Check all that describe your experience:

Sole Practitioner

Massage Employee (Full or Part Time)

Educator/Massage Therapy School Owner

Massage Author

Massage Researcher

State Board Member

Professional Organization Board Member

Item Writer (Previous Experience)

Other (please specify)

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* 8. On average, how many paid hours per week do you spend practicing massage therapy?

0-3 hours

4-7 hours

8-14 hours

15-20 hours

21-30 hours

31-40 hours

41+ hours

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* 9. Do you currently hold an active license to practice massage therapy?

Yes

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* 10. If yes, please tell us in what state(s) you are licensed.

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* 11. List all techniques/areas in which you specialize

Technique/Area

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* 12. Highest Degree Obtained

High School

Massage Therapy School Graduate

Associate's Degree

Bachelor's Degree

Master's Degree

Doctorate

The following questions are optional:

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* 13. Gender

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* 14. Age

18-20

21-30

31-40

41-50

51-60

61+

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* 15. Race/Ethnic Background

White or Caucasian

Black or African American

Hispanic or Latino

Asian or Asian American

American Indian or Alaska Native

Native Hawaiian or other Pacific Islander

Other

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* 16. Please upload a copy of your resume.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Thank you for completing the application. Please note that if you are selected to participate you will be asked to sign a non-disclosure agreement. All work must remain confidential to protect the integrity of the exams.