NJHolistcHealthServices.com - Associate Application

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New Jersey Holistic Health Services

Do you AGREE to these terms?

New Jersey Holistic Health Services is always looking to add new therapy providers
to our associates data base. We encourage you to apply with us.
We can't contact you for paying assignments until we have your information on file.

Member
American Massage Therapy Association

N J H o l i s t i c H e a l t h S e r v i c e s . c o m - W h e r e L i f e a n d H e a l t h I n t e r s e c t - N J H o l i s t i c H e a l t h S e r v i c e s . c o m - N o r t h e r n N e w J e r s e y ' s P r e m i e r P r o v i d e r o f H o l i s t i c H e a l t h S e r v i c e s N J H o l i s t i c H e a l t h S e r v i c e s . c o m

New Jersey Holistic Health Services Associate Application.

Please complete all of the following fields.
Remember that each detail can result in more opportunities for you.

Contact Information

Personal Information

Primary:

Secondary

Other:

Availability

I am (will be) mainaining an
online schedule of availbility at: https://www.massagemenu.com/
( Associates with online schedules will be contacted first for assignments )

Drivers License ID#

Social Security #

Experience

Previous Experience In Event Staffing?

Please Check Any Boxes That Match Your Previous Experience

Chair Massage

Hot Stone

Medical

Reflexology

Reiki

Rolfing

Shiatsu

Sports

Swedish

Thai

Other modalities:

List Credentials:

Biography
(Please enter a short description that describes your abilities)

Photos -- Please e-mail a photo ( face shot preferred ) to: njtouch@aol.com

READ CAREFULLY

I agree that I will be considered an Independent Contractor responsible for filing my own taxes for any employment New Jersey Holistic Health Services finds for me. The photos that I submit or send in with my application may be used for advertising of NJHHS's services including being listed on this site,
but will not be used without my consent for commercial purposes.
I also acknowledge that I am at least 18 years of age when I agree.

Name:
(First / Last)

Address:

City / State/ County:

Zip:

Phone:

Cellular:

E-mail:

Website:

Gender:

Citizenship:

Birthday:

Ethnicity:

Languages
Fluently Spoken

Availability:

Currently I Am:

Own Your Own Car?

Own Massage Table?

Own Massage Chair?

Please review our
Therapy Associate Subcontractor Agreement
Then proceed to fill out the form below.
We may require for you to come in for an interview and/ or a massage demo.

# of miles I am willing to travel for an assigment: