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California Massage Therapy Council


School

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Status :
School Details
Name :
School Approval Date : 01/01/2016
id # : PSD1
Mailing Address :
Primary Phone :
Email Address : School@inlumon.com
Deficiency
Photo incorrect
Payment amount not correct
Livescan ATI
Unpaid Invoice
Late Fee $250.00
Certification Fee $150.00
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School Information

2. School Details :

3. Previous School's Names (if any) :

Previous School Information

4. School Address :

User Address

Verified Address

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This is not a verified address

5. Previous Address (if any) :

School Previous Address

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User Address

Verified Address

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This is not a verified address

6. Mailing Address (if different from school address) :

User Address

Verified Address

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Street :
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This is not a verified address

7. Director/Administrator Name & Job Title :

Mobile
Secondary Number : Mobile

8. Contact Name for this Application & Job Title (if different than Director/Administrator Name & Job Title) :

First Name :
Contact Email :
Job Title :
Primary Number : Mobile
Secondary Number : Mobile

9. Satellite Location Address (if any) :

Satellite Location Address

Street :
City : State : Zip :

User Address

Verified Address

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This is not a verified address

9. MBLEx Scroes (if any) :

MBLEx Passing Rates

Passing Rate :
Year :
Half :
10.  Site Visits (if any) :

Site Visit Documents
Other Document Type :
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School Eligibility

Add Approval Agency

Approval Agency Supporting Documentation

Add Additional Approval Agency

Approval Agency Supporting Documentation

Add Massage Program Name

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About the School
10. Number of Graduates

Please list the TOTAL number of graduates from ALL massage programs for which the school seeks approval. Do not include continuing education classes or other programs. Put “0” if the program is new or had no graduates.

11. Type of Business Organization
12. Proof of Ownership

Please provide all documents, as directed by the Policies and Procedures for Approval of Schools, that support Proof of Ownership.

13. Proof of Business Operations

Please provide all documents, as directed by the Policies and Procedures for Approval of Schools, that support Proof of Business Operations.

14. Related Schools

If this school or campus shares its name, address, and/or ownership with another school(s), please list (NOTE: each campus seeking CAMTC school approval must submit a separate application).

User Address

Verified Address

Street :
City :
State :
Zip :
Street :
City :
State :
Zip :

This is not a verified address

15. Other Program(s)

If this school offers educational program(s) other than massage, please list.
Other Program Name :
16. Facility
17. Advertising

Please provide copies of all advertising.
Transcript
18. Sample transcript.

A sample transcript with no additional markings must be provided. Per CAMTC’s Policies and Procedures for Approval of Schools, transcripts should include at minimum :

  • School name, address, telephone number, website, and CAMTC School Approval Code (once approved), which shall exactly match information on file at CAMTC.

  • Heading entitled “Official Transcript.”

  • Student’s full legal name and date of birth.

  • Date student started program and date student graduated or, for programs longer than 500 hours, completed CAMTC requirements, if applicable.

  • Breakdown of courses completed with total number of supervised clock hours attended and passing grades for each course. Courses shall match those listed in the provided syllabi and program hour requirement worksheet (included with application).

  • Total number of supervised clock hours attended for massage program.

  • At least one authorized signature with printed name, title, and date.

  • Official school seal affixed, embossed, or otherwise attached to transcript.

  • Sufficient security measures that uniquely identify the school’s transcripts.

Transcripts from public colleges or universities of the California state higher education system, as defined in section 100850 of the Education Code, shall meet or exceed standards as determined by governing laws and regulations.

19. Sample transcript with highlights and descriptions of unique security measures:
20. Massage program addendum, if any.
21. Signatures, printed names, and titles for all approved signers.
22. Sample diploma (NOTE: Diplomas are not accepted in lieu of transcripts as proof of education).
23. Sample envelope (front and back) from the school in which transcripts will be mailed to CAMTC.
Enrollment Agreement
24. Blank Enrollment Agreement.

A blank enrollment agreement must be provided. Per CAMTC’s Policies and Procedures for Approval of Schools, enrollment agreements should include at minimum :

  • School name, address, additional addresses where classes will be held, telephone number, and website.

  • Student’s full legal name, date of birth, address, email, telephone number, and signature.

  • Copy of a current valid government issued photographic identification.

  • Title of massage program and total scheduled number of supervised hours received upon completion.

  • Program schedule with start date and scheduled completion date.

  • All scheduled charges and fees including, as applicable: tuition, registration fee, equipment, lab supplies, textbooks, educational materials, uniforms, charges paid to an entity other than the school as required by the program, and any other charge or fee.

  • Scheduled payment terms.

  • Clearly visible disclosure statement: “Attendance and/or graduation from a California Massage Therapy Council approved school does not guarantee certification by CAMTC. Applicants for certification shall meet all requirements as listed in California Business and Professions Code sections 4600 et. seq.”

  • Statement directing students to CAMTC for unanswered questions and for filing a complaint: “A student or any member of the public with questions that have not been satisfactorily answered by the school or who would like to file a complaint about this school may contact the California Massage Therapy Council at: One Capitol Mall, Suite 800, Sacramento, CA 95814, www.camtc.org, phone (916) 669-5336, or fax (916) 669-5337.”


Note: Enrollment agreements from public colleges or universities of the California state higher education system, as defined in section 100850 of the Education Code, and public schools accredited by an agency recognized by the United States Department of Education shall meet or exceed standards as determined by governing laws and regulations.
25. Massage program addendum, if any.
Course Catalog
26. Current Course Catalog.

A Current course catalog must be provided. Per CAMTC’s Policies and Procedures for Approval of Schools, course catalogs should include at minimum :

  • School name, address, additional addresses where classes will be held, telephone number, website, and CAMTC School Approval Code (once approved).

  • Date printed/revised.

  • Title of massage program(s) and total number of scheduled supervised hours received upon completion.

  • Program prerequisites, including but not limited to admission requirements, previous training, and language comprehension skills.

  • Completion and graduation requirements, including but not limited to clock hours to attend, assignments to complete, and assessments to pass.

  • Transfer credit policy.

  • Attendance and leave of absence policies.

  • Hygiene, dress code, and draping policies.

  • If the school admits foreign or ESL students, the catalog shall contain language proficiency information, including the level of English language proficiency required of students and the kind of documentation of proficiency that will be accepted; and whether English language services are provided and, if so, the nature of the service and its cost. The catalog shall also identify whether any instruction will occur in a language other than English and, if so, identify the other language(s) instruction will be provided in, the level of English proficiency required, and the kind of documentation of proficiency that will be accepted.

  • Publication of CAMTC’s Law related to unfair business practices as related to massage.

  • Clearly visible disclosure statement: “Attendance and/or graduation from a California Massage Therapy Council approved school does not guarantee certification by CAMTC. Applicants for certification shall meet all requirements as listed in California Business and Professions Code section 4600 et. seq.”

  • Statement directing students to CAMTC for unanswered questions and for filing a complaint: “A student or any member of the public with questions that have not been satisfactorily answered by the school or who would like to file a complaint about this school may contact the California Massage Therapy Council at One Capitol Mall, Suite 800, Sacramento, CA 95814, www.camtc.org, phone (916) 669-5336, or fax (916) 669-5337.”
27. Massage program addendum, if any.
Curriculum
28. Curriculum.

Please indicate which classes or subjects fulfill the minimum core educational requirements as set forth in CAMTC’s Policies and Procedures for Approval of Schools :

Courses that Fulfill Requirements

29.

30. Curriculum Supporting Documentation :








Staff
31. ALL owners, administrators, and faculty must complete a Qualification Form and submit to a background check (Current CAMTC certificate holders, employees of public colleges or universities of the California state higher education system, as defined in section 100850 of the Education Code, and employees of public schools accredited by an agency recognized by the United States Department of Education, are exempt from submitting to a background check.):

   ●   For schools with multiple campuses (and applications), only list individuals once on the application of his or her primary campus.

   ●   A non-refundable $41 fee for each background check must be included with the school’s application fee.

   ●   A Qualification Form will be emailed from CAMTC to each individual as soon as he or she is added via the application below. Qualification Forms will vary in length and questions asked based on whether the individual is an owner, administrator, instructor, or performs more than one of these functions. Each individual, no matter how many functions he or she may perform, will only receive one Qualification Form to complete.

   ●   Instructions for completing background checks will be emailed from Talentwise, the background check company, to each individual who is required to complete a background check once the school application is submitted and payment received.

   ●   The school application, once submitted and payment received, will not be considered complete until all required individuals have completed their background checks.

   ●   Providing incomplete or misleading information to CAMTC may result in processing delays, denial of your application, disciplinary action, revocation of your approval, and/or additional processing fees.

Add Staff

By pressing the SAVE button, the individual just entered will receive an email with instructions for completing the Personal Information, Qualification and Declaration Form.
Yes No
Total “Yes” : Amount Due :
32. Staffing Policies and Procedures :



33. Attestations.
I understand that it is my responsibility to submit an application to CAMTC and receive written approval from CAMTC for any CHANGE of APPROVAL or ACCREDITATION, any CHANGE of OWNERSHIP, any CHANGE of SCHOOL LOCATION or CHANGE or ADDITION of ADDITIONAL LOCATIONS, and any CHANGE of SCHOOL NAME PRIOR to any such change or addition, and that failure to apply for and receive CAMTC approval for such changes or additions may result in disciplinary action by CAMTC against the school, including but not limited to revocation of school approval.
I understand that if my school’s application is not complete, it will be purged one (1) year after the last date of activity and after a reminder to my stated email and address have been sent by CAMTC. Once it is purged, I understand that I will need to start the entire process over, including paying the application fee and meeting all of the requirements for school approval that exist at the time. I understand that once my application is considered to be complete, it may not be withdrawn.
I understand that my Application Fee is non-refundable regardless of the ultimate disposition of my application. I understand that if I am granted CAMTC school approval, it is only for a period of two (2) years, and it is my responsibility to submit a fully completed application for re-approval and ensure that it is received by CAMTC at least six ( 6 ) months before the expiration date listed on my school approval . I understand that a reminder notification may be sent to me as a courtesy, but failure to receive the reminder notification does not waive my responsibility to submit a fully completed application for re-approval and ensure that it is received at least six ( 6 ) months before my current school approval expires. I understand that if a fully completed application for re-approval is not received by CAMTC at least six ( 6 ) months prior to my school approval expiring, I will be required to apply for school approval as a new applicant and I will have to meet all of the requirements for school approval that exist at the time. I understand that CAMTC per law can only accept education from CAMTC approved schools and that any education received by students during times when this school is not approved cannot be accepted by CAMTC for certification purposes. I UNDERSTAND THAT UNDER NO CIRCUMSTANCES CAN THIS POLICY BE WAIVED.
I understand that it is my duty and responsibility to fully disclose all requested information and to supplement and/or update my Application for school approval after it has been submitted and to update my information and notify CAMTC should I receive school approval, if and when any change in circumstances or conditions occurs which might affect CAMTC's decision concerning my school approval. Failure to supplement and/or update my Application or update my information with CAMTC as an approved school may result in disciplinary action by CAMTC against the school, including but not limited to denial of my application or revocation of my school approval.
I HAVE CAREFULLY READ THE QUESTIONS IN THE FOREGOING APPLICATION AND HAVE ANSWERED THEM COMPLETELY, WITHOUT RESERVATION OF ANY KIND, AND I DECLARE, UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF CALIFORNIA, THAT MY ANSWERS AND ALL STATEMENTS MADE BY ME HERE IN AND IN SUPPORT OF THIS APPLICATION ARE COMPLETE, TRUE, ACCURATE, AND CORRECT. Should I furnish any false information on or in support of this Application and/or Worksheet, or fail to fully provide all requested information, I understand that such action shall constitute cause for denial, suspension, revocation, or action against my CAMTC School Approval.
I HAVE READ, UNDERSTAND, AND AGREE TO COMPLY WITH THE STATUTES AND RULES APPLICABLE TO CAMTC’S APPROVAL OF SCHOOLS IN CALIFORNIA.