Application

Please complete the basic application below. A representative from MATI will contact you shortly upon review of your application. A downloadable application is available here. If you need assistance please email learning@therapeuticindulgence.com.

Name

First Name

Last Name

Street Address

City

State

Zip

Cell Phone

Confirm Email Address

Date of Birth

(mm, dd, yyyy)

High School

Name, City, State

Year obtained HS Diploma or GED

Additional Education

Yes

If yes, please explain

Employment History

Please list employment dates, position and basic details of job

Personal Reference

Please list a personal reference, with email and telephone number

Employment Reference

Please list an individual that can confirm an employment reference. If you do not have one, please list an instructor from your school. Please list name, email and phone number

Extra-Curricular Activities

Please list any activities you enjoy outside work or school

Are you interested in an Evening Class or a Day Time Class?