🇨🇦 Massage Therapist Application Form

Join Spa Mobile® — In-Home Massage Across Quebec
We’re looking for licensed, compassionate, and professional massage therapists to join our growing team.
✔️ Flexible schedule
✔️ Competitive pay
✔️ Fully remote onboarding

Please fill out this form carefully — only qualified applicants will be contacted.

PERSONAL INFORMATION

First Name *

Last Name *

Phone *

Email *

Address *

Street Address *

City *

State *

Country *

Postal code *

Apartment number

Please select your legal gender identity as it appears on your government ID *

Female / Femme

Male / Homme

Prefer not to say / Préfère ne pas répondre

Date of Birth / Date de naissance (Required) *

Required for contract, legal verification, and tax purposes.

Do you Speak French? *

Yes, Fluently / Oui, Couramment.

Yes, Basic / Oui, de Base

No, I don't understand French / Non je ne parle pas le Français

Do You Speak English? *

Yes, Fluently / Oui, Couramment.

Yes, Basic / Oui, de Base

No, I don't understand English / Non je ne parle pas l'anglais

If you speak other languages, please enlist them!

Driver’s License (Required for In-Home Services)

Please upload a clear photo or scan of your valid driver’s license. This is required for identity verification and to ensure safe, secure in-home service for our clients. *

Upload your Driver's Licence

Do you own a car for in-home service travel? *

Yes / Oui

No / Non

IDENTITY & LICENSE

Please upload a copy of your massage therapy license or certificate *

(e.g., RITMA, FQM, ANQ, NHPC, etc.)

This allows us to confirm your credentials and match you with eligible clients who need insurance receipts.

What's the Association name? *

What's your Member number? *

Date Massage Therapy License Issued (from Association) *

Year you began practicing as a massage therapist *

I can issue insurance receipts for Canada Life *

Yes / Oui

No / Non

Minimum 1000 hours or issued a receipt before new policies on April 2021

Do you have a Professional responsibility Insurance? *

Yes / Oui

No / Non

💡 Required as per our contract. If you are not yet insured, most massage associations (e.g., RITMA, FQM, ANQ, NHPC) offer affordable liability insurance when you register. Please obtain it before starting with us — it's essential for client safety and legal compliance.

TRAINING & EXPERIENCE

Have you ever worked in an in-home or mobile massage setting before? *

Yes /Oui

No / Non

If Yes: Describe your past experience *

What type of training(s) have you completed? *

Select all that apply

Total number of massage training hours completed *

Years of Professional Massage Experience *

Upload your CV or résumé *

Upload your CV

MATERIALS & EQUIPMENT

Which materials do you currently own? *

Select all that apply

Other Materials (please specify)

Per contract: Are you willing to purchase the following?

Heated oil warmer
Approx. $40 — For client comfort during cold seasons
Heated massage table mattress
Approx. $100 — Especially recommended for elderly, postnatal or cold environments

Are you open to purchasing the required materials listed above to work with Spa Mobile®? *

Yes, I already own them / Oui, je les possède déjà

Yes, I’m open to buying them / Oui, je suis ouvert à les acheter

No / Non

AVAILABILITY AND TRAVEL AREAS

✅ Please select all regions you are willing to travel to for client appointments. You are expected to cover appointments in Montreal. If you are open to other areas, please indicate them below.

Check all the areas that apply (For Spa Mobile Montreal) *

🌍 Are you applying to join an expanding region?

We are currently expanding our services. If you're applying for a region we do not yet serve, please indicate the main city and area you'd like to cover.

Region / Région souhaitée →

Are you based in this region full-time?

Yes / Oui

No / Non

🕒 Your Weekly Availability / Votre disponibilité hebdomadaire

You can update your real-time availability by blocking off dates in your Google Calendar. Please indicate your usual preferred working hours for each day of the week below.
Vous pouvez mettre à jour votre disponibilité en bloquant des périodes dans votre Google Calendar. Veuillez indiquer vos heures habituelles de travail pour chaque jour de la semaine ci-dessous.

Monday

Select all that apply

Tuesday

Select all that apply

Wednesday

Select all that apply

Thursday

Select all that apply

Friday

Select all that apply

Saturday

Select all that apply

Sunday

Select all that apply

FINAL NOTES

Do you have any physical limitations or medical conditions we should be aware of?

Anything else you'd like to share with us?

How did you hear about Spa Mobile®? *

If you selected “Referred by someone,” or "Other" please specify

I confirm that the information I’ve provided is accurate and truthful. I declare that I have no criminal record, no history of inappropriate behaviour, and no ongoing legal issues that would affect my ability to provide safe and professional massage services.

I understand that I must sign a formal contract and provide required documents (license, insurance, ID, etc.) before accepting any clients.

Signature - Provider form *

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