Application for Certification/Registration in Massage Therapy

  GENERAL INSTRUCTIONS

1.  APPLICATION WITH PHOTO

An application form is required of all applicants.   Please print or type and answer all questions.  If you leave questions

 blank, the application may be returned to you.  If additional space is required, use the reverse side of the application

 or attach a separate 8½" x11" sheet of paper and be sure to put your name and item number on the paper. 

TWO recent 2" x 2" head & shoulders photo must also be submitted, one must be attached at the designated area of

 the application.  The application form must be notarized.

 2.  FEES

Application (NON-REFUNDABLE FEE) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .       $100.00

Jurisprudence Examination (DUE 10 BUSINESS DAYS BEFORE EXAM). . . . . . . . . . $  50.00

Certification/Registration (DUE WHEN APPLICATION IS APPROVED) . . ... . . . . . . . .  $200.00

Foreign School Review Fee . . . .  . . . . . . . . . . . . . . .. . . . . . . .. . . (To be paid by applicant to Contractor, if applicable)

    All fees must be by certified check or money order.  No cash or personal or business checks are accepted.  Certified

checks and money orders should be made payable  to “Maryland Board of Chiropractic Examiners.”

Note: All applicants must pass the NCETMB, NCETM or NCCAOM examination before registering for the jurisprudence

examination.   At the time you are notified that your application has been completed and approved, you will be advised in

writing to submit the certificate/registration fee within 30 days.

 APPLICATIONS NOT COMPLETED WITHIN 12 MONTHS FROM FILE DATE

WILL BE CLOSED.

3.  EDUCATION

 U.S.A. TRANSCRIPTS

Applicants must personally arrange with their school to have certified copies of OFFICIAL TRANSCRIPTS submitted directly

to the Board from schools.  The transcript(s) must document a minimum of 500-hours in a massage therapy education program

as defined in the Massage Therapy Regulations.

 FOREIGN TRANSCRIPTS

Students who attended foreign schools are advised that it is solely their responsibility to insure that all transcripts are in a format

acceptable to the Board.   Transcripts from foreign schools must be independently reviewed and investigated (see

IMPORTANT NOTICES) at the expense of the applicant.   Such transcripts must also have an original English translation from

an accredited member of the American Translators Association.  No other translation certification is acceptable.  Only original

transcripts and translations are acceptable - NO COPIES OR CERTIFIED COPIES.

07/05 - DH