School Application

Filling out this application is your first step to enrolling in massage school.

Start your application process now by completing the form below! The application process should only take you 10-15 minutes. We encourage you to review and select your preferred start date and class time before completing the application. After you submit your application, an Admissions representative will call you to discuss the next step.

If you have problems completing this form, call 512.374.9222 x14. Congratulations on taking the first step!

Get Started NOW!

**all fields required

How did you hear about Lauterstein-Conway Massage School?

Were you referred here by someone?
 Yes No
Referral Name:

Referral Phone:

Referral Email:

I. Personal Information

First Name*:

Last Name*:

Email Address*:

Phone Number*:





Date of Birth* (xx/xx/xxxx) :


II. Family Data & Emergency

In case of emergency, please contact:


Secondary Phone*:

Mailing Address*:


III: Academic History

Highest Level of Education*:

High School Name*:

Graduation/Completion Date*:

College* (put N/A if none):

Other Education:

Transferring in massage school credits?*:

IV. Employment History

Employment Status*:



Job Title*:


Start and End Dates*:

V: Enrollment Questions

1. What are your learning strengths and weaknesses?*

2. Will you require any special teaching or educational assistance to complete the program?*

If yes, please explain. If no, please type NA*:

3. Do you have any personal issues giving to or receiving massage from a male or female?

4. Do you have any health concerns or conditions that might inhibit you from practicing or participating in all parts of the program?*
(Health conditions can include, but are not limited to, mental illness, pregnancy, skin conditions or communicable diseases).

If yes, please explain. If no, please type NA.*

5. Tell us about your history of both giving and receiving massage therapy? (If you have no experience with either, please indicate that below).*

6. How would you prefer to pay for your education?*
Note: The State of Texas will conduct a background check before you become a licensed massage therapist

7. Have you ever been convicted of a sexually-oriented crime?*

8. Are you currently involved with or employed by a sexually-oriented business?*

VI: Payment Preferences

Lauterstein-Conway Massage School requires a $199 application, student insurance and school packet fee.
1. I am enrolling for*:

2. What program are you applying for?*:

3. Payment Method*:

PayPal payment is now available. You will be prompted to make your payment online with PayPal after completing the application. While PayPal is the easiest and fasted method of payment, you are welcome to pay the application fee in person during your enrollment appointment.

VII: Sign your Application

By typing your full, legal name below, you are indicating that the information you provided on this form is true.
I understand that I am signing this form electronically.

I certify that I have truthfully completed this application.*

If you need to make changes to your application, you will need to contact an admissions counselor immediately.