Massage Therapy Institute of Missouri

5 South Ninth Street Suite 204/810 E Walnut

Columbia, Mo 65201

(573)449-4929

Intent to Enroll Form

(a legally-binding Student Enrollment and Tuition Agreement will be sent upon acceptance)

Please mail to MTIM with your application, other enrollment materials, and $25.00 application fee.  Acceptance into our program is ultimately contingent upon the receipt of all materials, including results of your Criminal Background Check.

I, (print)____________________________, declare my intent to enroll at the Massage Therapy Institute of Missouri (MTIM) as a student of the 600 Hour  Massage Therapy program starting (please check) January_______ or July ___________, 2_____.

Tuition costs are figured at $15 per clock hour; $15 x 600 hours = $9,000.00. A non-refundable deposit of $500.00, deducted from this total, is required within 10 days of your acceptance  You may pay the remaining $8500.00 for the program in one lump sum, or make payments by semester, quarter, or month. Please choose your intended plan; you may change this plan at time of enrollment.                     
Additional fees consist of Student License fee ($25.00) and other costs as outlined in the current MTIM Information catalog.  Books are not included in tuition and are available separately.  Cancellation and Refund policies are detailed in the Information Catalog and on the Student Enrollment and Tuition Agreement.

[    ]            One payment            (due12/5 or 6/5):        $7650.00   (10% discount, no deposit required if paying in full by April 5/October 5)
[    ]            By Term (every 6 months; 12/5, 6/5):                             $4037.50   (5% discount for a total of $8075.00)
[    ]            Quarterly (every 3 months; 12/5, 3/5, 6/5, 9/5):               $2071.87   (2.5% discount for a total of $8287.50)
[    ]            Monthly (5th of month, beginning 12/5 or 6/5):                 708.34    (no discount for a total of $8500.00)

 

[    ]            I understand the payment options available to me and have made the school aware of my intended method of payment by checking above.
[    ]            I understand my deposit is due within ten days of acceptance or May 5th for July Cohort/Nov. 5th for Jan. cohort, whichever comes first, unless I am paying in full by April/October 5.

____________________________       ________________________      __________
printed name of student                                signature of student                date